by
Muddassir Syed , SPECIALIST INTERNAL MEDICINE , MINISTRY OF HEALTH
THE management depends upon early institution of treatment which improves chances of good outcome .Vitamin B12 is given, usually by injection into a muscle. Injections are often given once a day for a week, then weekly for about 1 month, and then monthly. Vitamin B12 supplements, either by injection or high-dose pills, must continue throughout life to prevent symptoms from returning.If treatment is received within a few weeks, complete recovery may be expected. If treatment is delayed for longer than 1 or 2 months, full recovery may not be possible.
Untreated, the disorder results in continued and irreversible damage to the nervous system.