Inhaled Nitrous Oxide ‘Whip-Its!’ Causing Subacute Combined Degeneration
نویسندگان
چکیده
منابع مشابه
Subacute combined degeneration caused by nitrous oxide intoxication: case reports.
PURPOSE Case reports with a comprehensive review of the current literature concerning subacute combined degeneration induced by nitrous oxide inhalation. A differential diagnosis should be considered when young patients present with progressive myelopathy because that the misuse of nitrous oxide has potentially serious outcomes. CASES REPORT Three young patients aged from 18 to 24, one male a...
متن کاملSubacute combined degeneration : report of two cases
Subacute combined degeneration ( SCD) due to vitamin B12 deficiency is common in North of Europe but sometimes it is seen in Iran. It can develop before the symptoms of anemia is obvious, with myelin injury and then axon and even neuron destruction in spinal cord, brain, optic and peripheral nerves. In this study two cases are reported; in the first patient, this disease in manifested by vitami...
متن کاملSpinal myoclonus in subacute combined degeneration caused by nitrous oxide intoxication.
A 26-year-old patient developed ascending weakness and paresthesias. Megaloblastic anemia and mildly reduced serum vitamin B12 (B12) concentration were noted. Myoclonus-like muscular contractions appeared over four extremities and in the trunk. She admitted inhaling nitrous oxide (N2O) as a euphoriant repeatedly at party. Following parenteral B12 administration, her neurological deficit promptl...
متن کاملNitrous Oxide-induced Subacute Combined Degeneration Presenting with Dystonia and Pseudoathetosis: A Case Report.
PURPOSE Nitrous oxide (N2O) is neurotoxic by interfering with vitamin B12 bioavailability. The clinical picture is indistinguishable to that of subacute combined degeneration (SCD). A movement disorder might occur though it is not a characteristic feature. We report a patient with N2O-induced SCD, exhibiting a combination of different involuntary movements. CASE REPORT A 20-year-old woman pre...
متن کاملSubacute combined degeneration of the spinal cord following recreational nitrous oxide use.
We describe a case of a young woman who developed myelopathy and peripheral neuropathy following 1 year of recreational nitrous oxide (N2O) use. She presented with uncomfortable tingling sensation in her feet and poor balance. Physical examination revealed mild weakness and hyper-reflexia in the lower limbs. Proprioception and vibration were absent in the lower limbs. Pinprick and light touch s...
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ژورنال
عنوان ژورنال: American Journal of Medical Case Reports
سال: 2019
ISSN: 2374-2151
DOI: 10.12691/ajmcr-6-12-3