Subacute combined degeneration of the spinal cord Flashcards by Vansh A | Brainscape

Q

What is subacute combined degeneration of the spinal cord?

A

Impairment of the dorsal, lateral corticospinal and spinocerebellar tracts

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Q

What causes SCDOTSC?

A

B12 deficiency

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Q

How does SCDOTSC present?

A

Symmetrical Distal tingling/burning/sensory loss of the legs
Impaired propioception and vibration sense
Muscle weakness
Hyperreflexia
UMN signs in the legs first
Positive Romberg’s sign

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Q

How is SCDOTSC managed?

A

IM B2 injections followed by oral supplementation
Some neuro symptoms can become irreversible

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