ORTHOSTATIC HYPOTENSION REVEALING COBALAM IN DEFICIENCY

Neurological manifestations of cobalamin deficiency are well known and various. We describe an uncommon clinical setting where major orthost atic hypotension was the primary symptom. Recovery was rapidly and com pletely stabilized with parenteral cobalamin subtitution. There was no clinical or electrophysiological signs of neuropathic disorder. This entity is rare but few cases are described in literature. All of them were reversible with vitamin substitution treatment.