{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T14:38:41Z","timestamp":1758638321212,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,10,2]]},"abstract":"<jats:p>We report a case of bilateral useless hand syndrome, a rare presenting manifestation of vitamin B<jats:sub>12<\/jats:sub> deficiency. A 38-year-old man, a strict vegetarian and a teacher by occupation, presented with acute onset clumsiness of both hands while performing fine movements. Detailed history-taking, examination of the patient and relevant investigations (complete blood count, serum vitamin B<jats:sub>12<\/jats:sub> and MRI of the cervical spinal cord) were carried out. Laboratory analysis was suggestive of vitamin B<jats:sub>12<\/jats:sub> deficiency and MRI demonstrated a lesion involving the posterior columns of the cervical cord. The patient was diagnosed as a case of non-compressive cervical myelopathy predominantly involving the posterior column due to vitamin B<jats:sub>12<\/jats:sub> deficiency. Acute bilateral useless hand syndrome can be a rare presenting feature of vitamin B<jats:sub>12<\/jats:sub> deficiency.<\/jats:p>","DOI":"10.1136\/bcr-2015-210067","type":"journal-article","created":{"date-parts":[[2015,10,16]],"date-time":"2015-10-16T16:52:39Z","timestamp":1445014359000},"page":"bcr2015210067","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Acute bilateral useless hand syndrome: a rare presenting manifestation of vitamin B<sub>12<\/sub> deficiency"],"prefix":"10.1136","volume":"2015","author":[{"given":"Sumant","family":"Biyani","sequence":"first","affiliation":[{"name":"Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sneh Kumar","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suchit","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,10,16]]},"reference":[{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.1","first-page":"319","article-title":"[Left hand clumsiness due to disturbance of kinaesthesia after damage to the dorsal column of the high cervical cord]","volume":"37","author":"Hashimoto","year":"1997","journal-title":"Rinsho Shinkeigaku"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.2","first-page":"1126","article-title":"Acute posterior cord lesions in multiple sclerosis: an MRI study of the clinical course in 20 cases","volume":"156","author":"Pou Serradell","year":"2000","journal-title":"Rev Neurol (Paris)"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.3","first-page":"211","article-title":"A case of multiple sclerosis with bilateral useless hand syndrome as a main clinical feature","volume":"45","author":"Hamada","year":"2005","journal-title":"Rinsho Shinkeigaku"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.4","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1212\/01.CON.0000433287.30715.07","article-title":"Unusual symptoms and syndromes in multiple sclerosis","volume":"19","author":"Rae-Grant","year":"2013","journal-title":"Continuum (Mimeep Minn)"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2014.09.212"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.6","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.58.5.607"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/00005792-199107000-00001","article-title":"Neurologic aspects of cobalamin deficiency","volume":"70","author":"Healton","year":"1991","journal-title":"Medicine (Baltimore)"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3536(05)80225-2"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.9","first-page":"729","article-title":"Discussion on the different types of multiple sclerosis","volume":"2","author":"Oppenheim","year":"1911","journal-title":"Br Med J"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.10","doi-asserted-by":"publisher","DOI":"10.1016\/0168-0102(86)90039-8"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.11","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.048132"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.12","first-page":"1343","article-title":"Deficiency diseases of the nervous system","volume-title":"Bradley's neurology in clinical practice","volume":"II","author":"Yuen","year":"2012"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.13","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.3.1740863"},{"key":"2025082722562652000_2015.oct16_1.bcr2015210067.14","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000338663.59433.9c"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:56:34Z","timestamp":1756360594000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,16]]},"references-count":14,"alternative-id":["10.1136\/bcr-2015-210067"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210067","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,10,16]]}}}