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27 Possible Causes for Hoarseness, Steppage Gait, Vitamin B12 Deficiency

  • Chronic Alcoholism

    Folic acid and vitamins B6 and B12 deficiency may lead to hyperhomocysteinemia, as they participate in its metabolism.[ncbi.nlm.nih.gov] Chronic alcoholism is often associated with malnutrition and nutritional and vitamin deficiencies, including B12, B1 (thiamin), folate and other B vitamins.[foundationforpn.org] Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline.[ebmconsult.com]

  • Charcot Marie Tooth Disease

    […] daughters of consanguineous parents, with onset of symptoms within the first two years of life, developing severe functional impairment, without evidence of dysmorphic features, hoarseness[ncbi.nlm.nih.gov] The clinical similarities between CMT and FRDA include a symmetrical neuropathy (axonal in FRDA), steppage gait, and eventually scoliosis.[ncbi.nlm.nih.gov] Acquired neuropathies - eg, related to alcohol, vitamin B12 deficiency , thyroid disease, diabetes mellitus , and infection ( HIV , leprosy , syphilis ). Vasculitis .[patient.info]

  • Amyotrophic Lateral Sclerosis

    […] easily, drooling, or gagging Head drop due to weakness of the neck muscles Speech problems, such as a slow or abnormal speech pattern (slurring of words) Voice changes, hoarseness[nlm.nih.gov] Further, muscle imbalance and compensatory gait patterns (e.g., steppage, hip hiking) can trigger musculoskeletal pain such as low back pain and can worsen fatigue.[doi.org] Since vitamin B12 deficiency is common in my family, with many members getting regular shots because their intrinsic factor appears to be compromised, it may be worthwhile[celiac.com]

  • Neuropathy

    (usually affects the feet first, then the arms and hands) Other symptoms that can occur with CIDP include: Abnormal or uncoordinated movement Problems breathing Fatigue Hoarseness[medlineplus.gov] Because of weakness in the foot and ankle, the leg often has to be lifted in exaggerated fashion to clear the floor, resulting in a so-called steppage gait.[vermontspineworks.com] For example, vitamin supplements in Vitamin B12 and folate deficiency.[symptoma.com]

  • Distal Sensory Loss (all Modalities)

    These difficulties may cause a higher than normal step (steppage gait) and increase the risk of ankle injuries and tripping.[ncbi.nlm.nih.gov] Hoarseness occurs when the bacilli invade the upper airways tissues and enlarge the vocal cords, but it is not due to recurrent laryngeal nerve palsy.[ijdvl.com] Etiology SACD can be a sequelae of any cause of vitamin B12 deficiency.[radiopaedia.org]

  • Peripheral Motor Neuropathy

    […] cranial problem) Transient cortical blindness Oculomotor nerve dysfunction paralytic strabismus Jaw pain Facial palsy Sensorineural hearing loss Laryngeal nerve paresis (hoarseness[pedsoncologyeducation.com] A bilateral foot drop may result in a steppage gait in which the patient must lift the knees very high in order to clear the toes.[aafp.org] Neuropathy due to vitamin B12 deficiency can be reversed with vitamin B12 supplementation.[precisionhealth.com.au]

  • Hereditary Motor and Sensory Neuropathies

    Autosomal dominant Charcot-Marie-Tooth disease type 2N Autosomal dominant intermediate Charcot-Marie-Tooth disease type E Autosomal recessive Charcot-Marie-Tooth disease with hoarseness[icdlist.com] Onset is typically in the first decade with leg are-flexia, gait disorder (toe walking or steppage gait), foot muscle atrophy or pes cavus, occasionally short Achilles tendons[academlib.com] Acquired neuropathies - eg, related to alcohol, vitamin B12 deficiency , thyroid disease, diabetes mellitus , and infection ( HIV , leprosy , syphilis ). Vasculitis .[patient.info]

  • Ataxia

    Common systemic manifestations include fatigue, constipation, cold intolerance, weight gain, hair loss, dry skin, and hoarseness.[scielo.br] A foot-drop will cause the patient lift that leg higher, and the gait disturbance is called a “steppagegait.[dartmouth.edu] Vitamin B12 deficiency, radiation effects, hypothyroidism are other factors.[symptoma.com]

  • Cranial Neuropathy

    A bilateral foot drop may result in a steppage gait in which the patient must lift the knees very high in order to clear the toes.[aafp.org] He complained of hoarseness and episodic horizontal diplopia for the previous 2 months.[jnnp.bmj.com] Vitamin B12 deficiency is considered to be another important cause for the development of neuropathies. Viral or bacterial infections can also lead to neuropathies.[simple-remedies.com]

  • Oculorenocerebellar Syndrome

    gait CNS hypomyelination Sensorimotor neuropathy Fasciculations Abnormality of the hair Sensory impairment Polyneuropathy Proximal muscle weakness Falls Sensory neuropathy[mendelian.co] B12 Deficiency OOM #193400 Von Willebrand disease A #236670 Walker-Warburg Syndrome OOM #277600 Weill-Marchesani syndrome A[biochemgenetics.ca] Additional features may include camptodactyly, soft doughy skin, umbilical hernia, and a low hoarse cry.[mendelian.co]

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