Abstract
Background: Subacute combined degeneration of the cord (SACD) due to vitamin B12 deficiency typically causes demyelination of the dorsal and lateral spinal cord sparing the anterior portion.We present a Sri Lankan lady who developed severe SACD due to B12 deficiency with pernicious anemia. Her radiology demonstrated involvement of all tracts of the spinal cord including the anterior with the inverted V sign.
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