vitamin-b-12 and Urinary-Retention

A 42-year-old man from rural India presented with asymmetric progressive paraparesis mimicking compressive dorsal myelopathy, followed by distal upper limb, truncal and neck-flexor weakness, further complicated by acute urinary retention. His sensory deficits were marked by loss of joint position sense (JPS) and graded loss of vibration sense, along with a definite sensory level. Deep tendon jerks were hypo-to-areflexic, plantar was bilaterally extensor. He had become less attentive and occasionally failed to keep track with conversations. A syndromic diagnosis of myeloradiculoneuropathy with cognitive impairments was made. Further tailored investigations revealed vitamin B

Topics: Adult; Cognitive Dysfunction; Electrodiagnosis; Electromyography; Humans; Injections, Subcutaneous; Magnetic Resonance Imaging; Male; Neural Conduction; Polyradiculoneuropathy; Quadriplegia; Spinal Cord; Spinal Cord Diseases; Subacute Combined Degeneration; Treatment Outcome; Urinary Retention; Vitamin B 12; Vitamin B 12 Deficiency; Vitamin B Complex