Recreational nitrous oxide abuse causing B12 deficiency with subacute combined degeneration of the spinal cord: A case report.

Razaq, Jazeb; Qureshi, Saffan · J Family Med Prim Care · 2020

case_report · Level V

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Abstract

The recreational use of nitrous oxide (N<sub>2</sub>O) is a growing public health concern. Increasing numbers of young individuals are presenting to accident emergency departments complaining of adverse neurological symptoms as a result of N<sub>2</sub>O induced vitamin B12 deficiency. Despite its increasing popularity, many are still not aware of its devastating potential to cause a myriad of severe longstanding neurological impairment. Herein we present a case that highlights the effects of N<sub>2</sub>O abuse and the best way to investigate and manage such patients.