A case of subacute combined degeneration of the spinal cord diagnosed with difficulty due to a history of treatment for pyogenic spondylitis

Yoshiki Shimokawa; Yuki Ishikawa; Teiki Okawa; Mana Higashihara; Fumiaki Tokimura; Tsuyoshi Miyazaki; Kentaro Hayakawa

doi:10.1002/ccr3.7180

A case of subacute combined degeneration of the spinal cord diagnosed with difficulty due to a history of treatment for pyogenic spondylitis

Clin Case Rep. 2023 Apr 7;11(4):e7180. doi: 10.1002/ccr3.7180. eCollection 2023 Apr.

Authors

Yoshiki Shimokawa¹, Yuki Ishikawa¹, Teiki Okawa², Mana Higashihara³, Fumiaki Tokimura¹, Tsuyoshi Miyazaki¹, Kentaro Hayakawa¹

Affiliations

¹ Department of Orthopaedics and Spine Surgery Tokyo Metropolitan Institute for Geriatrics and Gerontology Tokyo Japan.
² Department of General Medicine Tokyo Metropolitan Institute for Geriatrics and Gerontology Tokyo Japan.
³ Department of Neurology Tokyo Metropolitan Institute for Geriatrics and Gerontology Tokyo Japan.

Abstract

Early diagnosis of spinal cord subacute combined degeneration (SCD) is difficult, especially in pre-existing lower extremity impairment cases. We report a case of progressive SCD diagnosed after severe anemia. The peripheral symptoms of SCD other than gait disturbance should also be well understood and given close attention.

Keywords: atrophic gastritis; gait disturbance; pyogenic spondylitis; subacute combined degeneration; vitamin B12.

Publication types

Case Reports