Introduction:
Subacute combined cord degeneration of the spinal cord is a type of
myelopathy that most commonly manifests due to vitamin B12 deficiency.
The classical clinical presentation consists triad of symmetrical
diminished proprioception, sensory ataxia with pyramidal signs. 5
The commonly reported neuroimaging finding is symmetrical high T2 signal
on spinal cord MRI. 1 The presence of High signal DWI with diffusion
restriction is reported in one previous case report.2
This paper aims to describe the radiological features on spinal cord DWI
in 47 years-old patient presenting with subacute ataxic symptoms
diagnosed to have SACD, which can have overlapping features with other
myelopathies spinal cord ischemic diseases.