Evidence map›Paper›PMID 39006505›Full record

ArticleOxford medical case reports2024

'From highs to lows: a cautionary tale of nitrous oxide recreational use leading to sub-acute combined degeneration of the cord'.

Ayman Osman, Dalia Yousif, Simon Hickman, William Branagh

Abstract readCase Reports
In one paragraph

Article in Oxford medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ayman OsmanAcute Medicine Department, Bolton NHS Foundation Trust, Minerva Road, Bolton BL4 0JR, United Kingdom.ORCID https://orcid.org/0009-0001-2210-6928
Dalia YousifAcute Medicine Department, Sandwell and West Birmingham NHS Trust, West Bromwich, Birmingham B71 4HJ, United Kingdom.
Simon HickmanAcute Medicine Department, Bolton NHS Foundation Trust, Minerva Road, Bolton BL4 0JR, United Kingdom.
William BranaghAcute Medicine Department, Bolton NHS Foundation Trust, Minerva Road, Bolton BL4 0JR, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral causes lead to subacute combined degeneration (SACD) of the spinal cord, with nitrous oxide (N2O) inhalation rapidly emerging as the leading cause of functional Vitamin B12 deficiency [1]. CASE PRESENTATION: A 28-year-old man presented with numbness in the extremities and an unstable gait despite having a normal serum Vitamin B12 level. He also disclosed the recreational abuse of N2O. Magnetic Resonance Imaging (MRI) of the cervical spine revealed abnormal signals consistent with SACD. The patient's condition gradually improved after treatment with high dose Vitamin B12. Given the increasing number of N2O-induced SACD cases, the potential for drug abuse requires vigilance from clinicians.

conclusionHealthcare providers are urged to inquire about a patient's history of N2O inhalation to prevent the missed diagnosis of SACD.

Indexed as

causesnitrous oxideoutcomessubacute combined degeneration (SACD)vitamin B12

Identifiers

PMID39006505
PMCPMC11246556

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.