[由于氧化中毒而产生的神经并发症]
1Research Center of Neurology, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|December 28, 2024
概括
娱乐性氧化 (N2O) 的使用可能会导致由于维生素B12缺乏症而导致严重的神经损伤. 及时诊断和长期的口服亚诺科巴胺治疗对于管理这些使人虚弱的骨髓多重神经病症症状至关重要.
科学领域:
- 神经学 神经学
- 毒理学 毒理学 毒理学
- 营养科学 营养科学
背景情况:
- 娱乐性氧化 (N2O) 吸入在年轻人中很常见.
- 滥用N2O可以导致严重的神经并发症,主要是骨髓多重神经病变.
- 维生素B12缺乏是这些神经问题的根本原因.
研究的目的:
- 为了突出与N2O中毒中维生素B12缺乏相关的诊断挑战.
- 提出一个临床案例,说明这些诊断困难.
- 强调口服蓝胺在治疗N2O诱导的神经缺陷方面的有效性.
主要方法:
- 案例报告的呈现方式.
- 对维生素B12缺乏症的临床表现和诊断工作的审查.
- 评估治疗对口服蓝巴胺的反应.
主要成果:
- 临床案例证明了实验室确认维生素B12缺乏的困难.
- 观察到神经症状,包括多神经病变.
- 持续的口服赛亚诺科巴胺疗法在管理病情方面显示出显著的优势.
结论:
- 维生素B12缺乏是娱乐性氧化使用的关键并发症.
- 早期和准确诊断维生素B12缺乏是必不可少的.
- 长期的口服蓝胺是一种有效的治疗N2O诱导的骨髓多重神经病变.
更多相关视频
05:46A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects
Published on: May 4, 2021
4.6K
09:49Assessing Changes in Synaptic Plasticity Using an Awake Closed-Head Injury Model of Mild Traumatic Brain Injury
Published on: January 20, 2023
2.3K
相关概念视频
Local Anesthetics: Adverse Effects
368
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
368
Inhalational Anesthetics: Overview
100
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
100
CNS Depressants: Alcohol and Nicotine
143
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
143
Disorders of the Nervous Tissue
926
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises...
926
Drugs Acting on Autonomic Ganglia: Stimulants
1.2K
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating...
1.2K
Stages of General Anesthesia
290
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
290
