Frederico Carvalho de Medeiros, Lucas Alverne Freitas de Albuquerque and Cíntia Alvarenga Pereira
A 57 year-old woman searched for a neurological Service for the first time when she was 45-year-old, complaining about weakness in lower limbs for ten months period. The physical examination reported was of sensitive level at T5, reduced proprioception, Romberg’s sign and ataxic gait. A Work up discovered a low Vitamin B12 level of 64pg/ml. Vitamin B12 reposition was initiated, however the patient failed to follow up.
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