Yoshizawa Toshihiro
Department of Neurology, NTT Medical Center Tokyo.
Brain Nerve. 2016 Apr;68(4):407-20. doi: 10.11477/mf.1416200414.
Vitamin deficiency is one of the major causes of treatable dementia. Specifically, patients suffering from dementia frequentry display low serum levels of vitamin B(12). There is a close metabolic interaction between folate and vitamin B(12). Folate deficiency causes various neuropsychiatric symptoms, which resemble those observed in vitamin B(12) deficiency. This review summarizes, the basic pathophysiology of vitamin B(12) and folate deficiency, its clinical diagnosis, associated neuropsychiatric symptoms such as subacute combined degeneration and dementia, and epidemiological studies of cognitive decline and brain atrophy.
维生素缺乏是可治疗性痴呆的主要病因之一。具体而言,患有痴呆症的患者血清维生素B12水平常常较低。叶酸与维生素B12之间存在密切的代谢相互作用。叶酸缺乏会导致各种神经精神症状,这些症状与维生素B12缺乏时观察到的症状相似。本综述总结了维生素B12和叶酸缺乏的基本病理生理学、临床诊断、相关神经精神症状如亚急性联合变性和痴呆,以及认知衰退和脑萎缩的流行病学研究。