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Funikuläre Myelose

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Zusammenfassung

Die funikuläre Myelose ist die spinale Ausprägung eines Vitamin-B12- oder seltener eines Folsäuremangelzustands. Häufigste Ursache ist eine gestörte Resorption von Vitamin B12 bei chronisch atrophischer Gastritis mit Intrinsic-Factor-Mangel. In erster Linie kommt es zu einer symmetrischen Demyelinisierung der Hinterstränge und Pyramidenbahnen. Wichtigste Begleiterkrankung ist eine makrozytäre Anämie. Die funikuläre Myelose ist eine behandelbare Erkrankung; in den meisten Fällen ist eine lebenslange Substitutionstherapie notwendig.

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Literatur

Zitierte Literatur

  • Cheng HM, Park JH, Hernstadt D (2013) Subacute combined degeneration of the spinal cord following recreational nitrous oxide use. BMJ Case Rep. https://doi.org/10.1136/bcr-2012-008509

  • Herrmann W, Obeid R (2013) Utility and limitations of biochemical markers of vitamin B12 deficiency. Eur J Clin Investig 43:213–237

    Article  CAS  Google Scholar 

  • Köbe T, Witte AV, Schnelle A, Grittner U, Tesky VA, Pantel J, Schuchardt JP, Hahn A, Bohlken J, Rujescu D, Flöel A (2015) Vitamin B-12 concentration, memory performance, and hippocampal structure in patients with mild cognitive impairment. Am J Clin Nutr 103:1045–1054

    Article  CAS  Google Scholar 

  • Kumar N (2014) Neurologic complications of bariatric surgery. Continuum (Minneap Minn) 3:580–597

    Google Scholar 

  • Pawlak R, Lester SE, Babatunde T (2014) The prevalence of cobalamin deficiency among vegetarians assessed by serum vitamin B12: a review of literature. Eur J Clin Nutr 68:541–548

    Article  CAS  PubMed  Google Scholar 

  • Plantone D, Primiano G, Renna R, Restuccia D, Iorio R, Patanella KA, Ferilli MN, Servidei S (2015) Copper deficiency myelopathy: a report of two cases. J Spinal Cord Med 38:559–562

    Article  PubMed  PubMed Central  Google Scholar 

  • Puntambekar B, Basha MM, Zak IT, Madhavan R (2009) Rare sensory and autonomic disturbances associated with vitamin B12 deficiency. J Neurol Sci 287:285–287

    Article  CAS  PubMed  Google Scholar 

  • Renard D, Dutray A, Remy A, Castelnovo G, Labauge P (2009) Subacute combined degeneration of the spinal cord caused by nitrous oxide anaesthesia. Neurol Sci 30:75–76

    Article  PubMed  Google Scholar 

  • Roessler FC, Wolff S (2017) Rapid healing of a patient with dramatic subacute combined degeneration of spinal cord: a case report. BMC Res Notes 10:18

    Article  PubMed  PubMed Central  Google Scholar 

Weiterführende Literatur

  • EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA) (2015) Scientific opinion on dietary reference values for cobalamin (vitamin B12). EFSA J 13:4150

    Article  CAS  Google Scholar 

  • Goodman BP (2015) Metabolic and toxic causes of myelopathy. Continuum (Minneap Minn) 21:84–99

    Google Scholar 

  • Harrington DJ (2017) Laboratory assessment of vitamin B12 status. J Clin Pathol 70:168–173

    Article  PubMed  Google Scholar 

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Correspondence to Bettina Ende-Henningsen .

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Ende-Henningsen, B. (2018). Funikuläre Myelose. In: Berlit, P. (eds) Klinische Neurologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44768-0_72-1

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  • DOI: https://doi.org/10.1007/978-3-662-44768-0_72-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44768-0

  • Online ISBN: 978-3-662-44768-0

  • eBook Packages: Springer Referenz Medizin

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