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Nitrous Oxide Poisoning Complicated by Syringomyelia: a Case Report

Lin Tan, Changhao Yin, Zhenqi Wang, Weina Zhao

preprint DOI: 10.21203/rs.3.rs-861040/v1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report
Sample size 1
Population A 21-year-old woman who abused nitrous oxide recreationally
Intervention Nitrous oxide
Key findings The authors propose that nitrous oxide abuse may be associated with syringomyelia, based on a single case in which a 21-year-old woman who heavily inhaled nitrous oxide developed progressive leg weakness and four-limb numbness with imaging findings interpreted as syringomyelia. They recommend cervical and thoracic MRI screening for people who abuse nitrous oxide.

Abstract

Abstract Background: Nitrous oxide is a colorless, aromatic, inert organic gas with low toxicity and is currently abused in many recreational areas.Nitrous oxide abuse can lead to vitamin B12 deficiency, which can lead to neurological damage such as spinal neuropathy and peripheral neuropathy. Its abuse has not been associated with syringomyelia.Case presentation: We described the case of a 21-year-old young girl who presented with progressive weakness in both legs and numbness in four limbs after excessive recreational inhalation of nitrous oxide and her imaging findings were considered syringomyelia.Conclusion: Nitrous oxide abuse may be associated with syringomyelia, and that patients with nitrous oxide abuse should be further performed cervical and thoracic MRI to determine whether they have syringomyelia and give timely treatment.