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- Koike Haruki
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Nakamura Tomohiko
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Ikeda Shohei
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Takahashi Mie
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Kawagashira Yuichi
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Iijima Masahiro
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Katsuno Masahisa
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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- Sobue Gen
- Department of Neurology, Nagoya University Graduate School of Medicine, Japan
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抄録
<p>A patient with chronic alcoholism presented with myelopathy and low serum folate and cobalamin levels. A 42-year-old alcoholic man had gait disturbance for 4 months. A neurological examination revealed marked spasticity with increased deep tendon reflexes and extensor plantar responses of the lower limbs. His cobalamin level was decreased and his serum folate level was particularly low. His plasma ammonia level was not increased. Abstinence and folic acid and cobalamin supplementation stopped the progression of his neurological deficits. This case indicates that nutritional deficiency should be monitored closely in patients with chronic alcoholism who present with myelopathy. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (1), 105-108, 2017
一般社団法人 日本内科学会