A Diagnostic Challenge in Polysubstance Use: Nitrous Oxide–induced Neurological Toxicity Masked by Alcohol Withdrawal—A Case Report
Canadian Journal of Addiction August 7, 2026 Lucy Doan, Leisha Hawker, Caroline Racz
ABSTRACT Background: Recreational nitrous oxide use is increasing, causing functional vitamin B 12 deficiency and neurological complications that may be overlooked in complex clinical presentations. Case presentation: A 26-year-old male with alcohol use disorder presented with progressive lower-extremity weakness, peripheral paresthesias, and nocturnal urinary incontinence during alcohol...