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Figure 5b: (A and B) 18 year old male was admitted with progressive parapalegia of 3 months duration. Earlier in the year he had similar weakness which improved partially when he was admitted to a local hospital for fever and upper respiratory infection (review of old prescriptions revealed that he had received vitamin supplements). Clinically he was anemic and had hyper pigmentation of distal extremities (Fig. 5A). Peripheral smear and bone marrow confi rmed the diagnosis of megaloblastic anemia. MRI of the spinal cord (Fig. 5B) showed on T2W images, linear hyperintense lesion in the cervical and upper dorsal cord sparing the anterior column. He improved moderately with Vitamin B12 therapy

Figure 5b: (A and B) 18 year old male was admitted with progressive parapalegia of 3 months duration. Earlier in the year he had similar weakness which improved partially when he was admitted to a local hospital for fever and upper respiratory infection (review of old prescriptions revealed that he had received vitamin supplements). Clinically he was anemic and had hyper pigmentation of distal extremities (Fig. 5A). Peripheral smear and bone marrow confi rmed the diagnosis of megaloblastic anemia. MRI of the spinal cord (Fig. 5B)
showed on T2W images, linear hyperintense lesion in the cervical and upper dorsal cord sparing the anterior column. He improved moderately with Vitamin B12 therapy