Volume 21, Issue 10 pp. 1341-1343
Short Report

Axonal and demyelinating neuropathy with reversible proximal conduction block, an unusual feature of vitamin B12 deficiency

Asmahan F. Al-Shubaili MRCP

Asmahan F. Al-Shubaili MRCP

Department of Neurology and Clinical Neurophysiology, Ibn Sina Hospital, PO Box 25427, Safat 13115, Kuwait

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Sameer A. Farah MRCP

Corresponding Author

Sameer A. Farah MRCP

Department of Neurology and Clinical Neurophysiology, Ibn Sina Hospital, PO Box 25427, Safat 13115, Kuwait

Department of Neurology and Clinical Neurophysiology, Ibn Sina Hospital, PO Box 25427, Safat 13115, KuwaitSearch for more papers by this author
Jassim M. Hussein MRCP

Jassim M. Hussein MRCP

Department of Neurology and Clinical Neurophysiology, Ibn Sina Hospital, PO Box 25427, Safat 13115, Kuwait

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Joze V. Trontelj MD, DSc

Joze V. Trontelj MD, DSc

Institute of Clinical Neurophysiology, University Medical Center, Ljubljana, Slovenia

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Adnan J. Khuraibet MSc, DSc

Adnan J. Khuraibet MSc, DSc

Department of Neurology and Clinical Neurophysiology, Ibn Sina Hospital, PO Box 25427, Safat 13115, Kuwait

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Abstract

We report a 35-year-old patient with megaloblastic anemia who presented with features of subacute combined degeneration of the cord. Electrophysiological studies showed features of axonal neuropathy. In addition, there was evidence of prominent focal proximal conduction block in several nerves. After treatment with cyanocobalamin the neuropathy improved, and the peripheral nerve conduction block detected earlier disappeared. Reversible nerve conduction block as a feature of vitamin B12 deficiency in man, to our knowledge, has not been reported in literature, so far. © 1998 John-Wiley & Sons, Inc. Muscle Nerve 21:1341–1343, 1998.

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