Abstract Background Dream enactment behavior is a common feature of rapid eye movement (REM) sleep behavior disorder (RBD); however, there has been surprisingly little focus on sex differences in dream characterization in RBD. This is important to evaluate further, as it is possible that females and males have different dream characteristics in RBD, and screening questionnaires that focus on...
Nitrous oxide has been increasing in popularity as a recreational drug in the past decade, and with this an increase in health harms related to nitrous oxide use, particularly nitrous oxide-induced myeloneuropathy. In response, governments in many countries have adopted new laws that either target the end user, by criminalising possession, or target suppliers. The effect of these measures...
Abstract Introduction REM sleep behaviour disorder (RBD) is strongly associated with neurodegenerative disease (NDD), and the isolated form is a known prodrome of several alpha-synuclein-related NDD’s. RBD is difficult to diagnose, and screening questionnaires focus on vivid and aggressive dream content, but these characteristics may be more common to males, leading to underdiagnosis of RBD in...
Background Nitrous oxide (N2O) is the second most common recreational drug used by 16- to 24-year-olds in the UK. Neurological symptoms can occur in some people that use N2O recreationally, but most information comes from small case series. Methods We describe 119 patients with N2O-myeloneuropathy seen at NHS teaching hospitals in three of the UK’s largest cities: London, Birmingham and...
Practical NeurologyFebruary 22, 2023Álvaro París, Luke Lake, Albert Joseph et al.
Recreational use of nitrous oxide (N2O) has increased rapidly in recent years and is now the second most commonly used recreational drug among young people in the UK. There has been a corresponding rise in cases of nitrous oxide-induced subacute combined degeneration of the cord (N2O-SACD), a pattern of myeloneuropathy usually associated with severe vitamin B12 deficiency. This can cause...
BackgroundWhilst the dangers of ‘legal highs’ have been widely publicised in the media, very few cases of the neurological syndrome associated with the inhalation of nitrous oxide (N2O) have been reported. Here we set out to raise awareness of subacute degeneration of the spinal cord arising from recreational N2O use so that formal surveillance programs and public health interventions can be...