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Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord

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That is why, when reported, outcomes tend to be inconsistent and heavily dependent on the persons routine

Analysis of the causes of neuropathic pain in the contralateral lower limb after unilateral biportal endoscopic lumbar spinal canal decompression Research Article Asian J Surg