Subacute combined degeneration mimicking traumatic spinal cord injury.
Subacute combined degeneration (SCD) of the spinal cord is the most common neurologic manifestation of vitamin B12 (cobalamin) deficiency and is usually secondary to autoimmune gastritis, but may also be seen in malnutrition syndromes such as chronic alcoholism, strict vegetarianism, gastrectomy, and also in nitrous oxide abuse. Although traumatic spinal cord injury is routinely encountered in the medical examiner's office, medical causes of spinal cord abnormalities such as SCD should be considered in the appropriate clinical setting. We report a case of alcohol-associated SCD mimicking traumatic spinal cord injury.
Paul
Ian
I
Office of the Medical Investigator, 1 University of New Mexico, Albuquerque, NM 87131, USA. iandpaul@yahoo.com
Reichard
R Ross
RR
D000328:Adult; D000437:Alcoholism / Q000150:complications*; D003937:Diagnosis, Differential; D049429:Forensic Pathology; D005911:Gliosis / Q000473:pathology; D006801:Humans; D008297:Male; D019636:Neurodegenerative Diseases / Q000175:diagnosis* / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology; D013119:Spinal Cord Injuries / Q000175:diagnosis; D014806:Vitamin B 12 Deficiency / Q000150:complications* / Q000209:etiology