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Case Report Open Access
Lithium is well recognized mood stabilizer and state of the art treatment for bipolar affective disorder. Monitoring serum levels of lithium is recommended for long-term lithium prophylaxis. There are reports of lithium induced neurotoxicity at therapeutic doses. We describe a case report of a lady with bipolar affective disorder who was maintaining well for 4 years on lithium and sub-acutely developed myeloradiculopathy for which extensive work up revealed normal serum lithium with reduced vitamin B12 and Folate.
Lithium, Silent, Myeloradiculopathy, Vitamin., Psychology, Cognition