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Unusual presentation of more common disease/injury
Vitamin B12 deficiency: an unusual cause for recurrent generalised seizures with pancytopaenia
  1. Kushal Naha1,
  2. Sowjanya Dasari1,
  3. G Vivek2,
  4. Mukhyaprana Prabhu1
  1. 1Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India
  2. 2Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India
  1. Correspondence to Dr G Vivek Raman, vivekgraman{at}gmail.com

Summary

We report the case of a 70-year-old man with pancytopaenia and new-onset recurrent generalised seizures. Detailed evaluation yielded a diagnosis of vitamin B12 deficiency. He was treated with parenteral vitamin B12 supplementation and antiepileptic drugs. Seizures are an unusual manifestation of vitamin B12 deficiency and possible mechanisms of epileptogenesis are discussed.

https://doi.org/10.1136/bcr-2012-006632

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