Funicular Myelosis in a Butcher: It Was the Cream Cans
Background. Funicular myelosis is a known consequence of exposure to nitrous oxide. Nevertheless, there are only a few clinical trials assessing its long-term effects and there is no literature about the role of nutritional vitamin B12 supplementation in the context of nitrous oxide abuse. Case Desc...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/827168 |
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| author | Fabian Wolpert Krisztina Baráth Janis Brakowski Roland Renzel Michael Linnebank Andreas R. Gantenbein |
| author_facet | Fabian Wolpert Krisztina Baráth Janis Brakowski Roland Renzel Michael Linnebank Andreas R. Gantenbein |
| author_sort | Fabian Wolpert |
| collection | DOAJ |
| description | Background. Funicular myelosis is a known consequence of exposure to nitrous oxide. Nevertheless, there are only a few clinical trials assessing its long-term effects and there is no literature about the role of nutritional vitamin B12 supplementation in the context of nitrous oxide abuse. Case Descriptions. We diagnosed funicular myelosis in a young butcher, who consumed high amounts of meat regularly. Since the diagnostic process did not reveal any metabolic causes, reinterrogation of the patient uncovered recreational abuse of nitrous oxide out of whipped cream can gas cartridges. After stopping abuse and supplementation of vitamin B12, the patient recovered almost completely. Conclusions. In our case, even high nutritional vitamin B12 uptake could not compensate the noxious effects of nitrous oxide. Since there are emerging reports of increasing misuse, this should be considered in the diagnostic and therapeutic care of patients with nitrous oxide abuse. Furthermore, our case emphasizes that patients with vitamin B12 deficiency should be assessed for nitrous oxide abuse. |
| format | Article |
| id | doaj-art-2d69a9fad2524fa78eb97281e42696ec |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-2d69a9fad2524fa78eb97281e42696ec2025-02-03T01:23:05ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/827168827168Funicular Myelosis in a Butcher: It Was the Cream CansFabian Wolpert0Krisztina Baráth1Janis Brakowski2Roland Renzel3Michael Linnebank4Andreas R. Gantenbein5Department of Neurology, University Hospital Zürich, Frauenklinikstrasse 26, 8091 Zürich, SwitzerlandMedizinisch Radiologisches Institut (MRI Bethanien), Toblerstrasse 51, Bahnhofplatz, Stadelhofen, 8044 Zürich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, Hospital of Psychiatry, University of Zurich, Lenggstrasse 31, 8032 Zürich, SwitzerlandDepartment of Neurology, University Hospital Zürich, Frauenklinikstrasse 26, 8091 Zürich, SwitzerlandDepartment of Neurology, University Hospital Zürich, Frauenklinikstrasse 26, 8091 Zürich, SwitzerlandDepartment of Neurology, University Hospital Zürich, Frauenklinikstrasse 26, 8091 Zürich, SwitzerlandBackground. Funicular myelosis is a known consequence of exposure to nitrous oxide. Nevertheless, there are only a few clinical trials assessing its long-term effects and there is no literature about the role of nutritional vitamin B12 supplementation in the context of nitrous oxide abuse. Case Descriptions. We diagnosed funicular myelosis in a young butcher, who consumed high amounts of meat regularly. Since the diagnostic process did not reveal any metabolic causes, reinterrogation of the patient uncovered recreational abuse of nitrous oxide out of whipped cream can gas cartridges. After stopping abuse and supplementation of vitamin B12, the patient recovered almost completely. Conclusions. In our case, even high nutritional vitamin B12 uptake could not compensate the noxious effects of nitrous oxide. Since there are emerging reports of increasing misuse, this should be considered in the diagnostic and therapeutic care of patients with nitrous oxide abuse. Furthermore, our case emphasizes that patients with vitamin B12 deficiency should be assessed for nitrous oxide abuse.http://dx.doi.org/10.1155/2015/827168 |
| spellingShingle | Fabian Wolpert Krisztina Baráth Janis Brakowski Roland Renzel Michael Linnebank Andreas R. Gantenbein Funicular Myelosis in a Butcher: It Was the Cream Cans Case Reports in Neurological Medicine |
| title | Funicular Myelosis in a Butcher: It Was the Cream Cans |
| title_full | Funicular Myelosis in a Butcher: It Was the Cream Cans |
| title_fullStr | Funicular Myelosis in a Butcher: It Was the Cream Cans |
| title_full_unstemmed | Funicular Myelosis in a Butcher: It Was the Cream Cans |
| title_short | Funicular Myelosis in a Butcher: It Was the Cream Cans |
| title_sort | funicular myelosis in a butcher it was the cream cans |
| url | http://dx.doi.org/10.1155/2015/827168 |
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