Myeloneuropathy from whipped cream bulbs presenting as conversion disorder

被引:17
作者
Brett, A [1 ]
机构
[1] ROYAL PERTH HOSP,PERTH,WA,AUSTRALIA
关键词
conversion disorder; myeloneuropathy; nitrous oxide; vitamin B12;
D O I
10.3109/00048679709073810
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To highlight the complications of nitrous oxide abuse. Clinical picture: A case is presented of a myeloneuropathy in a 21-year-old woman who had been abusing nitrous oxide, obtained from whipped cream bulbs, who was referred to a psychiatric hospital with a diagnosis of conversion disorder. Nitrous oxide toxicity has been reported in medical and dental professions and a few cases of myeloneuropathy due to induced vitamin B12 deficiency have been reported. This would appear to be the first reported case of myeloneuropathy resulting from nitrous oxide abuse from whipped cream propellants as a recreational drug in the community. Treatment: Three doses of intramuscular hydroxy cobalamin (1000 mu g) over the course of 1 week. Outcome: Her neurological symptoms and anxiety settled. Conclusions: Nitrous oxide is becoming more popular as a recreational drug; its complications should be noted and a thorough neurological examination performed if abuse is suspected.
引用
收藏
页码:131 / 132
页数:2
相关论文
共 14 条
[1]   PSYCHIATRIC SYMPTOMS DUE TO VITAMIN B12 DEFICIENCY WITHOUT ANAEMIA [J].
BURVILL, PW ;
JACKSON, JM ;
SMITH, WG .
MEDICAL JOURNAL OF AUSTRALIA, 1969, 2 (08) :388-&
[2]   ASSOCIATIONS OF SUBNORMAL SERUM FOLATE AND VITAMIN/B12 VALUES AND EFFECTS OF REPLACEMENT THERAPY [J].
CARNEY, MWP ;
SHEFFIELD, BF .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1970, 150 (05) :404-+
[3]  
EDWIN E, 1965, ACTA MED SCAND, V177, P689
[4]  
FLIPPO TS, 1993, ARCH SURG-CHICAGO, V128, P1391
[5]   THE VALIDITY OF HYSTERICAL SIGNS AND SYMPTOMS [J].
GOULD, R ;
MILLER, BL ;
GOLDBERG, MA ;
BENSON, DF .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1986, 174 (10) :593-597
[6]  
HENDERSO.JG, 1966, LANCET, V2, P809
[7]  
LASSEN HCA, 1956, LANCET, V1, P527
[8]  
LAYZER RB, 1978, LANCET, V2, P1227
[9]  
LISHMAN WA, 1987, ORGANIC PSYCHIATRY
[10]   IS NITROUS-OXIDE A DANGEROUS ANESTHETIC FOR VITAMIN-B12-DEFICIENT SUBJECTS [J].
SCHILLING, RF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 255 (12) :1605-1606