Abstract

The problem of using nitrous oxide (“laughing gas”) is now important because young people often prefer this kind of entertainment. Regular short-term inhalation of nitrous oxide increases the risk of developing vitamin B 12 deficiency, which is an essential cofactor of important metabolic processes. This article describes 2 clinical cases of neurological disorders in young adults who had used nitrous oxide. We demonstrate difficulties in the diagnosis, therapeutic tactics and prognosis.

Highlights

  • В настоящее время проблема злоупотребления закисью азота («веселящим газом») приобрела актуальность, так как среди лиц молодого возраста выросла популярность данного вида «развлечения»

  • Research Center of Neurology; 80 Volokolamskoe Shosse, Моscow 125367, Russia The problem of using nitrous oxide (“laughing gas”) is important because young people often prefer this kind of entertainment

  • Regular short-term inhalation of nitrous oxide increases the risk of developing vitamin B12 deficiency, which is an essential cofactor of important metabolic processes

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Summary

Introduction

В настоящее время проблема злоупотребления закисью азота («веселящим газом») приобрела актуальность, так как среди лиц молодого возраста выросла популярность данного вида «развлечения». В анализе крови сохранялся повышенным уровень гомоцистеина (96 мкмоль/л), что было расценено как маркер латентного дефицита витамина В12.

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