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Also, IM is not necessary at all, as B12 has a long, documented history of effective SQ delivery

The epileptic phenotype is diverse, with a predominance of generalized myoclonic seizures, followed by abnormal eye movements and absence seizures to a lesser extent [14]

(34798964) Super-Refractory Status Epilepticus (SRSE) : Refractory to two antiseizure medications and general anesthesia treatment for 24 hours, or when seizures reemerge during an attempted anesthetic wean

It is important to note that, cyanocobalamin injections are mostly given once a month once B12 deficiency anemia has been treated to prevent a recurrence of symptoms that could lead to nerve damage