Tarhan Bedirhan, Rahman Sydur, Joseph Nancy, Hyder Douglas, Zingariello Carla, Borum Peggy R, Sladky John, Winesett Steven Parrish
University of Florida College of Medicine, Gainesville, FL, USA.
Child Neurol Open. 2021 Oct 23;8:2329048X211046440. doi: 10.1177/2329048X211046440. eCollection 2021 Jan-Dec.
Optimal functioning of the human nervous system depends on a constant supply of nutrients, vitamins, and minerals. In the developed world, nutritional deficiencies are relatively rare and infrequently present with neurologic manifestations. These neurologic disorders can be mistaken for inflammatory and/or autoimmune phenomena. This manuscript describes 2 pediatric cases with neurologic signs/symptoms arising from vitamin deficiencies-(1) optic neuropathy and (2) Wernicke encephalopathy associated with a Guillain-Barre-like pattern of weakness. The 2 cases and the subsequent discussion of vitamin A, B1, and B12 deficiencies underscore the value of taking a thorough dietary history and emphasize risk factors for these 3 nutritional deficiencies.
人类神经系统的最佳功能依赖于持续供应营养物质、维生素和矿物质。在发达国家,营养缺乏相对罕见,且很少出现神经系统表现。这些神经系统疾病可能被误诊为炎症和/或自身免疫现象。本文描述了2例因维生素缺乏引起神经系统体征/症状的儿科病例——(1)视神经病变和(2)与格林-巴利综合征样肌无力模式相关的韦尼克脑病。这2例病例以及随后对维生素A、B1和B12缺乏的讨论强调了详细询问饮食史的重要性,并强调了这3种营养缺乏的风险因素。