Autonomic Dysfunction as the Initial Presentation of Vitamin B12 Deficiency: A casereport

Authors

Hun-Pin Lee
Huey-Wen Liang
Tung-Chou Li

Translated Title

以自主神經功能病變爲初始表現之維他命B12缺乏症：病例報告

Abstract

Background: Vitamin B12 deficiency may be associated with variable neurological involvement, and myelopathy is the most common disorder associated with this deficiency. However, initial presentation with autonomic dysfunction is very rare.Case: The present report describes the case of a 76-year-old man who initially presented with recurrent syncope, followed by impaired vibration and proprioception, and then progressive weakness of the limbs. Result: The findings of a hematological study, blood biochemistry, gastric biopsy by panendoscopy, and electrophysiological examinations all supported the diagnosis of chronic atrophic gastritis-related vitamin B12 deficiency associated with macrocytic anemia, myelopathy, peripheral neuropathy, and autonomic dysfunction. Conclusion: We presented the clinical characteristics of this case, and discussed the clinical course and outcome of rehabilitation after supplementation with vitamin B12.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2010.38(2)08

First Page

131

Last Page

136

Recommended Citation

Lee, Hun-Pin; Liang, Huey-Wen; and Li, Tung-Chou (2010) "Autonomic Dysfunction as the Initial Presentation of Vitamin B12 Deficiency: A casereport," Rehabilitation Practice and Science: Vol. 38: Iss. 2, Article 8.
DOI: https://doi.org/10.6315/2010.38(2)08
Available at: https://rps.researchcommons.org/journal/vol38/iss2/8