{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T10:17:52Z","timestamp":1777803472458,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T00:00:00Z","timestamp":1387152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>\n                    Deficiency of vitamin B\n                    <jats:sub>12<\/jats:sub>\n                    causes megaloblastic anemia and nervous system demyelination. Structures affected in the nervous system include spinal cord, cranial and peripheral nerves, and brain white matter. A 9-year-old boy presented with knuckle hyperpigmentation and oral ulcers for 3 years, pallor and easy fatigability for 6 months, gait abnormalities for 3 months, and abnormal speech and behavioral abnormalities for 3 days. On examination, he had physical signs of megaloblastic anemia, mood swings with intermittent hallucinations, and features of cerebellar impairment. Blood investigations revealed megaloblastic anemia, and pernicious anemia was ruled out. Brain magnetic resonance imaging (MRI) revealed bilateral cerebellar signal changes. He received treatment for vitamin B\n                    <jats:sub>12<\/jats:sub>\n                    deficiency and appropriate nutritional counseling. Three months later, he showed significant clinical and radiologic resolution. To our knowledge, isolated cerebellar involvement as the sole neurologic manifestation of vitamin B\n                    <jats:sub>12<\/jats:sub>\n                    deficiency has not been described previously in children.\n                  <\/jats:p>","DOI":"10.1177\/0883073813513498","type":"journal-article","created":{"date-parts":[[2013,12,17]],"date-time":"2013-12-17T21:39:22Z","timestamp":1387316362000},"page":"NP161-NP163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Isolated Cerebellar Involvement in Vitamin B\n                    <sub>12<\/sub>\n                    Deficiency"],"prefix":"10.1177","volume":"29","author":[{"given":"Biswaroop","family":"Chakrabarty","sequence":"first","affiliation":[{"name":"Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachana","family":"Dubey","sequence":"additional","affiliation":[{"name":"Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheffali","family":"Gulati","sequence":"additional","affiliation":[{"name":"Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangeetha","family":"Yoganathan","sequence":"additional","affiliation":[{"name":"Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atin","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,12,16]]},"reference":[{"key":"bibr1-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1113996"},{"key":"bibr2-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199107000-00001"},{"key":"bibr3-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1007\/s002340050670"},{"key":"bibr4-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2004.00778.x"},{"key":"bibr5-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(03)00219-3"},{"key":"bibr6-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70598-1"},{"key":"bibr7-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1007\/PL00014307"},{"key":"bibr8-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1016\/j.cortex.2009.11.008"},{"key":"bibr9-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1097\/00001756-200410050-00020"},{"key":"bibr10-0883073813513498","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2011.03.065"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073813513498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0883073813513498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073813513498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:36:28Z","timestamp":1777494988000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0883073813513498"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2013,12,16]]},"references-count":10,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1177\/0883073813513498"],"URL":"https:\/\/doi.org\/10.1177\/0883073813513498","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,16]]}}}