КЛИНИЧЕСКИЙ СЛУЧАЙ ФУНИКУЛЯРНОГО МИЕЛОЗА У ПАЦИЕНТА ПОСЛЕ ГАСТРЭКТОМИИ

Владимир Вячеславович Павленко; Светлана Валериевна Куприянова; Ольга Борисовна Карелина; Евгения Александровна Каменева; Марина Александровна Каткова

doi:10.24412/2687-0053-2025-3-92-95

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Issue:

Vol. 24 No. 3 (2025): September

Section:

CASE HISTORY

Published:
2025-09-24

DOI:

https://doi.org/10.24412/2687-0053-2025-3-92-95

Владимир Вячеславович Павленко

Kemerovo State Medical University; Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky, Kemerovo

http://orcid.org/0000-0001-9757-0314

Светлана Валериевна Куприянова

Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky, Kemerovo

Ольга Борисовна Карелина

Kemerovo State Medical University

Евгения Александровна Каменева

Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky, Kemerovo

Марина Александровна Каткова

Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky, Kemerovo

Abstract

The article describes a clinical case of funicular myelosis in a patient after gastrectomy performed for the treatment of a malignant gastric tumor. Funicular myelosis is a neurological complication of vitamin B12 deficiency. Vitamin B12 deficiency may occur due to malnutrition, decreased absorption due to altered gastrointestinal anatomy or function, or intake of certain medications. The disease is characterized by degeneration of the dorsal and lateral columns of the spinal cord. The condition typically presents with sensory deficits, paresthesia, weakness, ataxia, and gait disturbance. In severe untreated cases, combined degeneration may lead to spasticity and paraplegia. Timely detection and treatment of vitamin B12 deficiency is critical to prevent the development of this serious neurological condition.

Keywords

B12 deficiency, funicular myelosis, vitamin B12, degenerative changes, neurological disorders

Author Biographies

Владимир Вячеславович Павленко,

doctor of medical sciences, professor, head of the hospital surgery department

Светлана Валериевна Куприянова,

doctor of the radiological department N 1

Ольга Борисовна Карелина,

candidate of medical sciences, docent, docent of the G.A. Ushakova department of obstetrics and gynecology

Евгения Александровна Каменева,

doctor of medical sciences, chief physician

Марина Александровна Каткова,

doctor of the radiological department N 1

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.

This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Павленко, В. В., Куприянова, С. В., Карелина, О. Б., Каменева, Е. А., & Каткова, М. А. (2025). CLINICAL CASE OF FUNICULAR MYELOSIS IN A PATIENT AFTER GASTRECTOMY. Medicine in Kuzbass, 24(3), 92-95. https://doi.org/10.24412/2687-0053-2025-3-92-95

References

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Heckl S, Bender B, Gohla G, Baumgartner K, Horger M. Typical MRI Features in Subacute Combined Degeneration (Funicular Myelosis). Rofo. 2023; 195(7): 562-566. doi: 10.1055/a-1981-1315

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Adam LC, Grobelny A, Hahn K, Audebert HJ, Krause P, Franke C, Ruprecht K. Severe subacute combined degeneration of the spinal cord resulting from nitrous oxide (N2O) abuse: a case series. Neurol Res Pract. 2025; 7(1): 7. doi: 10.1186/s42466-024-00364-x

Bosch JN, Malcolm J, Moya M, Menowsky M, Cruz RA. A Case Report of Subacute Combined Degeneration Due to Nitrous Oxide-Induced Vitamin B12 Deficiency. Cureus. 2023; 15(2): e34514. doi: 10.7759/cureus.34514

Panda PK, Bolia R, Shrivastava Y, Bhunia NS, Sharawat IK. Megaloblastic wobbliness: A reversible neurological condition. Clin Nutr ESPEN. 2021; 45: 511-513. doi: 10.1016/j.clnesp.2021.06.019

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Paris A, Lake L, Joseph A, Workman A, Walton J, Hayton T, et al. Nitrous oxide-induced subacute combined degeneration of the cord: diagnosis and treatment. Pract Neurol. 2023; 23(3): 222-228. doi: 10.1136/pn-2022-003631

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CLINICAL CASE OF FUNICULAR MYELOSIS IN A PATIENT AFTER GASTRECTOMY

Article Sidebar

https://doi.org/10.24412/2687-0053-2025-3-92-95

Main Article Content

Abstract

Keywords

Author Biographies

Владимир Вячеславович Павленко,

Светлана Валериевна Куприянова,

Ольга Борисовна Карелина,

Евгения Александровна Каменева,

Марина Александровна Каткова,

Article Details

Information about financing and conflict of interests

How to Cite

References

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