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63 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.[] Ask Well Photo Credit Tony Cenicola/The New York Times What Are the Effects of Vitamin B12 Deficiency?[] Chronic alcoholism is often associated with malnutrition and nutritional and vitamin deficiencies, including B12, B1 (thiamin), folate and other B vitamins.[]

  • Ataxia

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

  • Retropharyngeal Abscess

    Stridor and hoarseness of voice decreased immediately. Within two-and-a-half hours, the patient improved neurologically.[] His parents noted that the patient was clumsier and exhibited some mild speech changes and a steppage gait prior to evaluation in the ED; therefore, these were thought to[] Ask Well Photo Credit Tony Cenicola/The New York Times What Are the Effects of Vitamin B12 Deficiency?[]

  • 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[] 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.[] For example, vitamin supplements in Vitamin B12 and folate deficiency.[]

  • Primary Lateral Sclerosis

    […] your legs Tripping, difficulty with balance and clumsiness as the leg muscles weaken Weakness and stiffness progressing to your trunk, then your arms, hands, tongue and jaw Hoarseness[] His gait was notable for a very mild reduction of the left arm swing and a left steppage gait. The laboratory investigations are detailed in table 1 .[] B12 deficiency (usually a problem of absorption, not diet), and virus caused diseases.[]

  • 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[] 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[] Acquired neuropathies - eg, related to alcohol, vitamin B12 deficiency , thyroid disease, diabetes mellitus , and infection ( HIV , leprosy , syphilis ). Vasculitis .[]

  • Diabetic Pseudotabes

    Intestinal crises (abdominal pain and diarrhea), rectal crises (painful tenesmus), and laryngeal crises (pain in the larynx, hoarseness, and stridor) are rare.[] gait, palpably enlarged nerves, peripheral polyneuropathy Type II - axonal type - less severe, atrophy, peripheral polyneuropathy( MOST COMMON TYPE OF HERITDARY NEUROPATHY[] B12 deficiency.[]

  • Cranial Neuropathy

    . · Vagus (tenth nerve) Hoarseness and difficulty swallowing and talking.[] 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.[] Vitamin B12 deficiency is considered to be another important cause for the development of neuropathies. Viral or bacterial infections can also lead to neuropathies.[]

  • Oculorenocerebellar Syndrome

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

  • Lumbosacral Plexus Disorder

    Involvement of the recurrent laryngeal nerve can result in weakness and partial paralysis of the vocal cords and, consequently, hoarseness and soft speech (hypophonia).[] Characteristic steppage gait. Patient lying on his back, is asked to extend the ankle, adduct and lift the inner edge of the foot. Ask to extend the proximal phalanges.[] Baseline haematinic studies to rule out vitamin B12/folate deficiency. Lumbar puncture if CIDP is suspected.[]

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