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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 530 - 534 (5page)
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초록· 키워드
오류제보하기
We report two cases of subacute combined degeneration (SCD) caused by nitrous oxide (N2O) gas intoxication, which is rarely reported in Korea. Two patients recreationally inhaled N2O gas daily for several months. They presented with paresthesia of limbs, voiding difficulty, and gait disturbance. The initial vitamin B12 levels were normal or decreased, but homocysteine levels of the two patients were increased. Magnetic resonance imaging of the cervical spine showed T2-weighted hyperintensity in the bilateral dorsal columns of the cervical spinal cord. Electromyography and somatosensory evoked potential tests for both patients suggested posterior column lesion of the spinal cord combined with sensorimotor polyneuropathy. According to these findings, we concluded that the two patients had SCD. The patient’s symptoms partially improved after cessation of N2O gas inhalation and the receiving of vitamin B12 supplementation therapy. As the incidence of recreational N2O gas inhalation is increasing in Korea, physicians must be alert to the N2O induced SCD in patients presenting with progressive myelopathy.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Lin RJ / 2011 / Subacute combined degeneration caused by nitrous oxide intoxication : case reports / Acta Neurol Taiwan 20:129~137
Hsu CK / 2012 / Myelopathy and polyneuropathy caused by nitrous oxide toxicity : a case report / Am J Emerg Med 30:1016
Katsaros VK / 1998 / MRI of spinal cord and brain lesions in subacute combined degeneration / Neuroradiology 40:716~719
Timms SR / 1993 / Subacute combined degeneration of the spinal cord : MR findings / AJNR Am J Neuroradiol 14:1224~1227
Shoults K / 2016 / Case report : neurological complications of nitrous oxide abuse / B C Med J 58:192~194
Hsu CK / 2012 / Myelopathy and polyneuropathy caused by nitrous oxide toxicity : a case report / Am J Emerg Med 30:1016
Katsaros VK / 1998 / MRI of spinal cord and brain lesions in subacute combined degeneration / Neuroradiology 40:716~719
Timms SR / 1993 / Subacute combined degeneration of the spinal cord : MR findings / AJNR Am J Neuroradiol 14:1224~1227
Shoults K / 2016 / Case report : neurological complications of nitrous oxide abuse / B C Med J 58:192~194
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