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Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Executive dysfunction in hyperhomocystinemia responds to homocysteine-lowering treatment.
Neurology 2005 April 27
An elevated serum homocysteine level is a risk factor for the development of cognitive impairment. Reported is a late-onset case of hyperhomocystinemia due to a vitamin B12 metabolic deficit (cobalamin C) with cognitive impairment, primarily in frontal/executive function. After homocysteine-lowering therapy, the patient's functional and neuropsychological status improved in conjunction with a decrease in leukoariosis on his MRI scan. These findings suggest that homocysteine-related cognitive impairment may be partially reversible.
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