A 12-Month-Old İnfant With İnvoluntary Movements During Enteral Vitamin B12 Treatment: Case Report

Abstract

Vitamin B12 (cobalamine) deficiency is one of the nutritional deficiencies in children. It can also be seen in infants whose mothers have nutritional deficiency. The involuntary movements is known to be associated with vitamin B12 deficiency. But also this type of movements can be seen in the patients who are on vitamin B12 tretament. We present a patient who had involuntary movements after enteral vitamin B12 treatment, on which reported cases are rarer than parenteral administration. We want to emphasize continuation of treatment is much more important than these involuntary movements observed temporarily.

Keywords

• enteral vitamin B12

References

1. References: 1 Demir N, Koc A, Üstyol L, Peker E, Abuhandan M. Clinical and neurological findings of severe vitamin B12 deficiency in infancy and importance of early diagnosis and treatment. J Paediatr Child Health. 2013 Oct;49(10):820-4. doi: 10.1111/jpc.12292. Epub 2013 Jun 18. 2 Ozdemir O, Baytan B, Gunes AM, Okan M. Involuntary movements during vitamin B12 treatment. J Child Neurol. 2010 Feb;25(2):227-30. doi: 10.1177/0883073809333528. Epub 2009 Jun 12. 3 Aguirre JA, Donato ML, Buscio M, Ceballos V, Armeno M, Aizpurúa L, Arpí L. [Serious neurological compromise due to vitamin B12 deficiency in infants of vegan and vegetarian mothers]. Arch Argent Pediatr. 2019 Aug 1;117(4):e420-e424. doi: 10.5546/aap.2019.e420. Spanish.