Subacute Combined Degeneration of the Cord

Introduction Vitamin B12 deficiency is a systemic disease that often affects the nervous system, and one of the most prevalent manifestations is Sub-acute Combined Degeneration of the Spinal Cord (SACD), which is encountered regularly by neurologists. It primarily affects the posterior and lateral columns of the spinal cord white matter resulting in paraesthesia, ataxic gait and loss of vibration and proprioception sense (Metz, 1992). The details of which will be discussed later in the paper. SACD …

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