Nitrous Oxide Poisoning Complicated by Syringomyelia: a Case Report

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.

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Vitamin B12 Deficiency Induced Psychosis - a Case Report

10.26226/morressier.589b235bd462b8028d891b4f ◽

2017 ◽

Author(s):

Ana Rita Carvalho

Keyword(s):

Case Report ◽

Vitamin B12 ◽

Vitamin B12 Deficiency ◽

B12 Deficiency

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Autoimmune hemolytic anemia associated with vitamin B12 deficiency and viral illness in DiGeorge syndrome. Case report and literature review

Clinical Case Reports ◽

10.1002/ccr3.4308 ◽

2021 ◽

Vol 9 (6) ◽

Author(s):

Zohaib Yousaf ◽

Fateen Ata ◽

Phool Iqbal ◽

Bassam Muthanna ◽

Adeel Ahmad Khan ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Vitamin B12 ◽

Hemolytic Anemia ◽

Autoimmune Hemolytic Anemia ◽

Digeorge Syndrome ◽

Vitamin B12 Deficiency ◽

Viral Illness ◽

B12 Deficiency

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Glossodynia as an Unusual Manifestation of Vitamin B12 Deficiency -A case report-

The Korean Journal of Pain ◽

10.3344/kjp.2006.19.2.275 ◽

2006 ◽

Vol 19 (2) ◽

pp. 275 ◽

Cited By ~ 1

Author(s):

Jung Hun Lee ◽

Il Man Jeong ◽

Won Goo Seo ◽

Chul Ho Woo ◽

Jong Seok Bae ◽

...

Keyword(s):

Case Report ◽

Vitamin B12 ◽

Vitamin B12 Deficiency ◽

Unusual Manifestation ◽

B12 Deficiency

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Autoimmune hemolytic anemia associated with vitamin B12 deficiency and viral illness in DiGeorge syndrome. Case report and literature review.

10.22541/au.161376757.77777875/v1 ◽

2021 ◽

Author(s):

Zohaib Yousaf ◽

Fateen Ata ◽

Phool Iqbal ◽

Bassam Muthanna ◽

Adeel Khan ◽

...

Keyword(s):

Case Report ◽

Digeorge Syndrome ◽

Vitamin B12 Deficiency ◽

Intravenous Immunoglobulins ◽

Chromosome 22 ◽

Thrombocytopenic Purpura ◽

Immunodeficiency Disorder ◽

Viral Illness ◽

B12 Deficiency ◽

Intravenous Steroids

DiGeorge syndrome, an immunodeficiency disorder due to long arm microdeletion of chromosome 22. Isolated hemolysis is rarely seen in DiGeorge syndrome and is usually reported in conjunction with idiopathic thrombocytopenic purpura. We report a case of DiGeorge syndrome with AIHA, which was successfully managed by intravenous steroids and intravenous immunoglobulins.

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Vitamin B12 deficiency with combined hematological and neuropsychiatric derangements: a case report

Journal of Medical Case Reports ◽

10.1186/1752-1947-8-277 ◽

2014 ◽

Vol 8 (1) ◽

Cited By ~ 7

Author(s):

Luke Rannelli ◽

Rita Watterson ◽

Rupang Pandya ◽

Alexander A Leung

Keyword(s):

Case Report ◽

Vitamin B12 ◽

Vitamin B12 Deficiency ◽

B12 Deficiency

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Analiza obrazu klinicznego niedokrwistości z niedoboru witaminy B12 u dzieci

Nowa Pediatria ◽

10.25121/np.2019.23.1.40 ◽

2019 ◽

Vol 23 (1) ◽

Author(s):

Aleksandra Pankiewicz ◽

Anna Adamowicz-Salach ◽

Marek W. Karwacki ◽

Katarzyna Pawelec ◽

Katarzyna Albrecht ◽

...

Keyword(s):

Vitamin B12 ◽

Metabolic Pathways ◽

Essential Role ◽

Vitamin B12 Deficiency ◽

Neurological Damage ◽

Laboratory Findings ◽

Delay In Diagnosis ◽

B12 Deficiency ◽

Late Manifestation

Diagnosis of vitamin B12 deficiency could be difficult due to various and rather unspecific symptoms and often late manifestation in hematological findings. B12 has a crucial role as cofactor of many metabolic pathways and has essential role in many processes such as DNA synthesis, neuron myelination and gluconeogenesis. Blood smear has a huge role in early diagnosis and should be performed. B12 deficiency is not very common, however could be underestimated especially in developing countries. In children main cause of deficiency is exclusively breastfeeding by vitamin B12 depleted mothers. Consequences of low intake in children are more severe than in adults, because of lower liver storage. Early detection and treatment is very important, because long term deficiency could result in persistent neurological damage. Coexistence iron or folate deficiencies could result delay in diagnosis. In this article different manifestation and laboratory findings in group of children with B12 deficiency is described.

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