滥用氧化和相关的神经疾病
Kongkiat Kulkantrakorn1,2,3,4, Patis Chunhachatrachai5, Wuttipat Kulkantrakorn6
1Faculty of Medicine, Thammasat University, Pathumthani, Thailand. kongkiat@tu.ac.th.
娱乐性氧化滥用会导致严重的神经损伤,包括骨髓病变和多神经病变. 虽然短期结果很差,但大多数患者在长期随访后显著恢复.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
背景情况:
- 氧化 (N2O) 是一种广泛使用的麻醉剂.
- 娱乐性N2O滥用正在增加,导致严重的神经并发症.
研究的目的:
- 报告有氧化滥用病史的患者的神经并发症.
- 描述临床表现,电诊断发现和结果.
主要方法:
- 七名被诊断患有氧化引起的神经疾病的患者的回顾性审查.
- 使用了临床评估,电诊断 (神经传导研究,EMG) 和MRI.
主要成果:
- 19-32岁的患者呈现急性/次急性动脉,运动/感官功能障碍,在两例中,脑病变.
- 电子诊断显示了感官运动轴突多神经病变;低维生素B12水平是常见的.
- 宫脊椎MRI显示,两名患者的背脊病变.
结论:
- 滥用氧化可以诱导骨髓病变和感官运动性多神经病变.
- 短期的神经学结果往往是不利的.
- 长期随访 (超过6个月) 在大多数患者中显示中度至完全康复.
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