Nitrous Oxide-Induced Vitamin B12 Deficiency Resulting in Myelopathy

Nitrous oxide, primarily used in the medical field and in the food industry, can cause symptoms of euphoria and analgesia. Recreational use of nitrous oxide is rising, as are reports of its adverse effects, including neurologic complaints secondary to an evoked vitamin B12 deficiency. We outline a c...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 12; no. 7
Main Authors Campdesuner, Victoria, Teklie, Yeshanew, Alkayali, Talal, Pierce, Derek, George, Justin
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 09.07.2020
Cureus
Subjects
Acids
Anesthesia
Antibodies
Ataxia
Case reports
Drug dosages
Drug use
Hematology
Homocysteine
Internal Medicine
Laboratories
Neck pain
Neurology
Nitrous oxide
Patients
Spinal cord
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Summary:Nitrous oxide, primarily used in the medical field and in the food industry, can cause symptoms of euphoria and analgesia. Recreational use of nitrous oxide is rising, as are reports of its adverse effects, including neurologic complaints secondary to an evoked vitamin B12 deficiency. We outline a case of a patient presenting with several neurologic symptoms and found to have myelopathy secondary to vitamin B12 deficiency in the presence of prolonged recreational nitrous oxide use.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.9088