Complications

Complication
Timeframe
Likelihood
short term
high

Intracranial haemorrhage signs and symptoms are as follows: headache (upon lying flat, awakening, increasing with change in position); nausea and vomiting; change in alertness; visual changes; decreased sensation; difficulty speaking, swallowing, or reading and writing; weakness; and seizure. Treatment depends on the location, cause, and extent of the haemorrhage. Nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or diuretics are used to reduce swelling and anticonvulsants are used to treat seizures. Surgery to remove haemorrhage may be needed especially if bleeding is in the cerebellum. External ventricular shunt placement may be required to reduce intracranial pressure. The patient may also require blood products and intravenous therapy to alleviate the fluid losses. Immediate referral to emergency care is recommended.

Adequate vitamin C supplementation is a necessary cure for scurvy, but it is not sufficient. Patients with life-threatening complications (e.g., intracerebral haemorrhage) may not recover despite adequate supplementation.

short term
high

The patient should be referred immediately for emergency care under a cardiologist and a cardiac surgeon.

long term
low

Vitamin C deficiency has been associated with neck and back pain in a single but large epidemiological US study. The impact of treating vitamin C deficiency on neck or back pain is uncertain.[72]

Assessment of neck pain

long term
low

Vitamin C deficiency has been associated with neck and back pain in a single but large epidemiological US study. The impact of treating vitamin C deficiency on neck or back pain is uncertain.[72]

Assessment of back pain

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