Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Alcoholic Myelopathy and Nutritional Deficiency
Haruki KoikeTomohiko NakamuraShohei IkedaMie TakahashiYuichi KawagashiraMasahiro IijimaMasahisa KatsunoGen Sobue
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JOURNALS OPEN ACCESS

2017 Volume 56 Issue 1 Pages 105-108

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Abstract

A patient with chronic alcoholism presented with myelopathy and low serum folate and cobalamin levels. A 42-year-old alcoholic man had gait disturbance for 4 months. A neurological examination revealed marked spasticity with increased deep tendon reflexes and extensor plantar responses of the lower limbs. His cobalamin level was decreased and his serum folate level was particularly low. His plasma ammonia level was not increased. Abstinence and folic acid and cobalamin supplementation stopped the progression of his neurological deficits. This case indicates that nutritional deficiency should be monitored closely in patients with chronic alcoholism who present with myelopathy.

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© 2017 by The Japanese Society of Internal Medicine
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