Associated with:

• Areflexia
• Ataxia worsens removing visual cues
• Impaired Vibration/Proprioception
• Ataxia worsens removing visual cues
• Positive Romberg Test

Investigation

DDx

Neuropathy

• Diabetes Mellitus → DSP → Distal Symmetric Polyneuropathy
• Miller-Fisher Syndrome → !GBS - Guillain-Barré syndrome

Deficiency

• Vitamin E deficiency
• Cu (+) Deficiency
• Vitamin B12 (Cobalamin) Deficiency

Toxicity

• Toxins (Alcohol (RF) , Chemotherapy )
• Vitamin B6 toxicity