Subacute combined degeneration of spinal cord – the only manifestation in an otherwise “normal” vitamin B12 deficient patient.

Sub acute combined degeneration (SACD) is a myelopathy associated with vitamin B12 deficiency. Vitamin B12 deficiency may present with neurological and/or hematological features - neurological features commonly presenting at a later stage than hematological changes. Our case is an unusual presentation of SACD without anemia