Roach E S, McLean W T
Am Fam Physician. 1982 Jan;25(1):111-5.
Neurologic complications associated with vitamin B12 deficiency include spinal cord degeneration, peripheral neuropathy and alteration of mental status. The possibility of vitamin B12 deficiency must be considered in all patients with these nervous system disorders, even in those who do not have anemia. If treatment is started early, most of the neurologic deficits will resolve. Delayed therapy usually halts the progression of the disease, but permanent sequelae may occur.
与维生素B12缺乏相关的神经并发症包括脊髓变性、周围神经病变和精神状态改变。所有患有这些神经系统疾病的患者,即使没有贫血,也必须考虑维生素B12缺乏的可能性。如果早期开始治疗,大多数神经功能缺损将得到缓解。延迟治疗通常会阻止疾病进展,但可能会出现永久性后遗症。