Ataxic gait following total gastrectomy for gastric cancer
Ataxic gait following total gastrectomy for gastric cancer作者机构:Department of Physical Medicine and Rehabilitation Medicine Ulsan University Hospital University of Ulsan College of Medicine Department of Surgery Ulsan University Hospital University of Ulsan College of Medicine
出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))
年 卷 期:2016年第22卷第37期
页 面:8435-8438页
核心收录:
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Subacute combined degeneration Vitamin B12 deficiency Total gastrectomy Gastric cancer
摘 要:A 58-year-old woman, who had undergone total gastrectomy for early gastric cancer 9 years previously, visited the outpatient clinic complaining of progressive difficulty in walking for 15 d. Laboratory examinations showed macrocytic anemia and a decreased serum vitamin B12 concentration and increased serum concentrations of folate, vitamin E and copper. Magnetic resonance imaging showed multifocal high signal intensities along the posterior column of the cervical and thoracic spinal cord. Treatment consisted of intramuscular injections of vitamin B12 for 7 d, which increased her serum level of vitamin B12 to normal. This was followed by weekly intramuscular injections of vitamin B12 for another 2 wk and oral administration of vitamin B12 three times per day. After comprehensive rehabilitation for 4 wk, she showed sufficient improvements in strength and ataxic gait, enabling her to return to her normal daily activities.