On the rise due to its effects of euphoria, recreational use of nitrous oxide can cause severe neurologic symptoms caused by marked and rapid onset of vitamin B12 deficiency. This is a case of a young 34-year-old male who presented with an inability to walk and confusion caused by vitamin B12 deficiency in the setting of recreational nitrous oxide use.
Keywords: nitrous oxide abuse; nitrous oxide myelopathy; subacute combined degeneration of the spinal cord; vitamin b12 deficiency; whippets.
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