相关实验视频
Updated: Mar 11, 2026

07:42
Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
18.6K
与娱乐性氧化使用相关的外围神经病变:一个案例报告
Jeun Jun1, Peter Aldo Giammanco2, Jack J Haslett2
1Department of Psychiatry, Arrowhead Regional Medical Center, Colton, CA, USA.
The American journal of case reports
|March 10, 2026
概括
娱乐性氧化 (N2O) 的使用可能导致维生素B12缺乏,导致神经病变等神经问题. 早期诊断和B12补充对于恢复和预防永久性神经损伤至关重要.
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:
- 已知氧化 (N2O) 可以使维生素B12失活.
- 定期吸入N2O可以导致维生素B12缺乏.
- 这种缺陷可以表现为外围神经病变,可能模仿其他神经疾病.
研究的目的:
- 报告一种因N2O引起的维生素B12缺乏病例.
- 突出诊断的挑战,症状最初归因于创伤.
- 强调考虑在无法解释的神经缺陷中使用N2O的重要性.
主要方法:
- 一个24岁的男性出现了机动车辆碰撞 (MVC) 后的神经症状的病例报告.
- 临床检查显示了非实用步态和积极的罗姆伯格标志.
- 实验室测试显示维生素B12水平严重低;成像没有显著.
主要成果:
- 神经症状 (腰部疼痛,腿部麻醉,步态障碍) 最初被误认为是MVC创伤.
- 发现娱乐性N2O使用是根本原因.
- 肌肉内注射维生素B12后症状迅速改善.
结论:
- 在患有无法解释的神经缺陷的患者中,应考虑N2O诱导的维生素B12缺乏症.
- 有针对性的社会史和血清B12水平对于诊断至关重要.
- 及时补充B12和咨询可以预防长期的神经损伤.
相关概念视频
Local Anesthetics: Differential Sensitivity of Nerve Fibers
1.6K
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
1.6K
Drugs Acting on Autonomic Ganglia: Stimulants
2.2K
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...
2.2K
Local Anesthetics: Adverse Effects
920
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...
920
Olfactory Receptors: Location and Structure
13.6K
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
13.6K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
569
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
569
CNS Depressants: Alcohol and Nicotine
1.5K
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...
1.5K

