Affiliations: Jordan University and Jordan University Hospital,
Amman, Jordan
Note: [] Correspondence: Amira T. Masri, MD, Consultant Pediatric
Neurologist, Jordan university hospital, PO Box (1612-code 11941), Amman,
Jordan. E-mail: [email protected]
Abstract: Abnormal movements including tremor and myoclonus have been
described in patients with vitamin B12 deficiency before or upon initiation of
treatment with vitamin B12. We report here a case of vitamin B12 deficiency in
an infant who presented first with chaotic rotatory eye movements (myoclonus)
followed by the appearance of tremors in the tongue, palate, upper and lower
limbs. All the abnormal movements disappeared spontaneously within a period of
six weeks. To our knowledge, this is the first report of vitamin B12 deficiency
presenting with myoclonus in the eyes.