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What Causes Subacute Combined Degeneration Of Spinal Cord?
Question: A diagnosed w subacute degeneration of spine but mri showed no signs of subacute degeneration n no malabsorption issues, not taking any b12 regiment n normal b12 b6 n vitamin e tests day of diagnosis. Diagnosis made after sudden paralysis of both legs occurred same night as lumbar puncture. Nurses tested ability to wiggle toes etc very 12 hrs no problem. Admission report had normal red blood cell counts, no neurological deficits. First b12 test was done 6 days after paralysis occurred. Had been vomiting bile for days n done after pic line was installed. Xanthochromia small amt n protein .80 found in CSF fluids
Brief Answer:
Please provide more clinical details and reports
Detailed Answer:
As discussed in earlier discussion please provide reports and other clinical details
Hello XXXX,
I have gone through your question and understand your concerns.
The possibility of Lumbar puncture related injury to cord is very uncommon as the level of lumbar puncture is below the cord level at roots level.
Other possibility may be traumatic blood related arachnoiditis or infection during procedure. These possibilities are also not in your case.
Is there any history of drug administration during procedure into spinal space as it may some time lead to injury.
You may be having myelitis after the procedure a coincidence.
IS your limbs flaccid or spastic?
A rare possibility may be injury to bilateral motor cortex in brain due to shunt ?
Have you consulted a neurologist and what are the examination findings?
You can upload his prescription for availability of such details.
Do get back with these details.regards
Dr Neeraj Kumar
Neurologist
Please provide more clinical details and reports
Detailed Answer:
As discussed in earlier discussion please provide reports and other clinical details
Hello XXXX,
I have gone through your question and understand your concerns.
The possibility of Lumbar puncture related injury to cord is very uncommon as the level of lumbar puncture is below the cord level at roots level.
Other possibility may be traumatic blood related arachnoiditis or infection during procedure. These possibilities are also not in your case.
Is there any history of drug administration during procedure into spinal space as it may some time lead to injury.
You may be having myelitis after the procedure a coincidence.
IS your limbs flaccid or spastic?
A rare possibility may be injury to bilateral motor cortex in brain due to shunt ?
Have you consulted a neurologist and what are the examination findings?
You can upload his prescription for availability of such details.
Do get back with these details.regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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