Neuro-image: nitrous oxide-induced myelopathy due to vitamin B12 deficiency
C van den Hoven, S Lambrechts, T Reynders - Acta Neurologica Belgica, 2022 - Springer
C van den Hoven, S Lambrechts, T Reynders
Acta Neurologica Belgica, 2022•SpringerA previously healthy 35-year-old man presented himself to the emergency department with a
5 day onset of progressive 4-limb numbness, gait disturbances and abdominal discomfort.
Recreational nitrous oxide (N2O) inhalation was reported for the last 2 years, with strongly
increased use since 3 days prior. There was no other relevant personal or family history.
Neurological examination revealed a sensory ataxia, pseudoathetosis and a sensory level
at Th3, most pronounced in the lower limbs.
5 day onset of progressive 4-limb numbness, gait disturbances and abdominal discomfort.
Recreational nitrous oxide (N2O) inhalation was reported for the last 2 years, with strongly
increased use since 3 days prior. There was no other relevant personal or family history.
Neurological examination revealed a sensory ataxia, pseudoathetosis and a sensory level
at Th3, most pronounced in the lower limbs.
A previously healthy 35-year-old man presented himself to the emergency department with a 5 day onset of progressive 4-limb numbness, gait disturbances and abdominal discomfort. Recreational nitrous oxide (N2O) inhalation was reported for the last 2 years, with strongly increased use since 3 days prior. There was no other relevant personal or family history. Neurological examination revealed a sensory ataxia, pseudoathetosis and a sensory level at Th3, most pronounced in the lower limbs.
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