Subacute sensory ataxia and optic neuropathy with thiamine deficiency

@article{Spinazzi2010SubacuteSA,
  title={Subacute sensory ataxia and optic neuropathy with thiamine deficiency},
  author={Marco Spinazzi and Corrado Angelini and Cesare Patrini},
  journal={Nature Reviews Neurology},
  year={2010},
  volume={6},
  pages={288-293}
}
Background. A 71 year-old man with a history of partial gastrectomy presented to the emergency department with subacute gait instability associated with painful dysesthesias and clumsiness in both hands. 10 years before presentation he had received a diagnosis of megaloblastic anemia, with no neurological involvement, as a result of vitamin B12 and folate deficiency, for which he was receiving regular supplements.Investigations. Neurological examination; routine laboratory testing; MRI of the… 
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