Vitamin B12 deficiency: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Vitamin B12 deficiency: clinical features. This is usually sudden onset. Fully referenced neurology checklist.

Peripheral axonal neuropathy (PN)

  • This is usually sudden onset
  • It usually starts in the upper limbs or simultaneously in the upper and lower limbs
  • It is mainly painless and sensory

Movement disorders

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Neuropsychiatric disorders

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Other neurological disorders

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Dermatological features

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Haematological features

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Other features

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References

  1. Reynolds E. Vitamin B12, folic acid and the nervous system. Lancet Neurol 2006; 5:949-960.
  2. Overell JR. Peripheral neuropathy: pattern recognition for the pragmatist. Pract Neurol 2011; 11:62-70.
  3. Hemmer B, Glocker FX, Schumacher M, Deuschl G, Lucking CH. Subacute combined degeneration: clinical, electrophysiological, and magnetic resonance findings. JNNP 1998; 65:822-827.
  4. Zanus C, Alberini E, Costa P, Colonna F, Zennaro F, Carrozzi M. Involuntary movements after correction of vitamin B12 deficiency: a video-case report. Epileptic Disord 2012; 14:174-180.
  5. Kumar S. Vitamin B12 deficiency presenting with an acute reversible extrapyramidal syndrome. Neurol India 2004; 52:507-509.
  6. And 27 more. Subscribe to see the full list

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