AJDRAJNR - American Journal of Neuroradiology

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Case Report
SPINE

Copper Deficiency Myeloneuropathy Resembling B12 Deficiency: Partial Resolution of MR Imaging Findings with Copper Supplementation

B.P. Goodmana, B.W. Chongb, A.C. Patelb, G.P. Fletcherb and B.E. Smitha

a Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, Ariz
b Department of Radiology, Mayo Clinic Scottsdale, Scottsdale, Ariz

Please address correspondence to Brent P. Goodman, MD, Department of Neurology, Mayo Clinic Scottsdale, 13400 East Shea Blvd, Scottsdale, AZ 85259; e-mail: goodman.brent{at}mayo.edu

SUMMARY: Copper deficiency has been associated with a clinical syndrome, myeloneuropathy. Radiographic changes resembling B12 deficiency in the cervical spinal cord have been described. We present a case of copper deficiency myeloneuropathy, with cervical MR imaging findings resembling B12 deficiency, which partially reversed following copper supplementation. This is, to our knowledge, the first described case of radiographic improvement with copper supplementation.




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J. Neurol. Neurosurg. PsychiatryHome page
B P Goodman, E P Bosch, M A Ross, C Hoffman-Snyder, D D Dodick, and B E Smith
Clinical and electrodiagnostic findings in copper deficiency myeloneuropathy
J. Neurol. Neurosurg. Psychiatry, May 1, 2009; 80(5): 524 - 527.
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