Whip It Good: A Case of Vitamin B12 Deficiency and Subacute Combined Degeneration of the Spinal Cord
Document Type
Article
Publication Title
Cureus
Abstract
A 40-year-old male patient with no significant past history presented to the emergency room with bilateral upper and lower extremity numbness and difficulty walking for three weeks. MRI of the thoracic spine revealed cord signal abnormalities in the dorsal columns consistent with selective degeneration. This was congruent with the patient's presentation and symptoms of myelopathy with dorsal column involvement along with peripheral polyneuropathy. Nitrous oxide inhalation was the culprit, causing acute vitamin B12 deficiency and subsequent myeloneuropathies.
DOI
10.7759/cureus.74620
Publication Date
11-27-2024
Keywords
causes of vitamin b12 deficiency, gait ataxia, methylcobalamin, nitrous oxide abuse, subacute combined degeneration
ISSN
2168-8184
Recommended Citation
Pourshams IA, Arora M, Nimkar S, Kumbham P. Whip It Good: A Case of Vitamin B12 Deficiency and Subacute Combined Degeneration of the Spinal Cord. Cureus. 2024; 16(11). doi: 10.7759/cureus.74620.
