Context: Subacute combined degeneration (SCD) is a rare cause of myelopathy and is classically due to vitamin B12 deficiency. The typical pathological changes associated with SCD include axonal loss selectively involving the dorsal columns as well as the anterolateral pyramidal pathways. Findings:We report a 22-year old Chinese woman who initially presented with progressive numbness and recurrent falls. Patient was subsequently diagnosed with subacute combined degeneration involving the thoracic and cervical cord based on imaging findings and low vitamin B12 levels. With careful and empathetic interviewing the patient admitted to intermittent self-induced vomiting after periods of compulsive eating consistent with a diagnosis of Bulimia Nervosa. Conclusion:To our knowledge, this is the first case report of subacute combined degeneration due to B12 deficiency secondary to bulimia nervosa.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.