Subacute combined degeneration of the spinal cord in a patient with nitrous oxide use and autoimmune atrophic gastritis
Gardin T, Yang A, Moeller J, Quraishi I. Subacute combined degeneration of the spinal cord in a patient with nitrous oxide use and autoimmune atrophic gastritis. BMJ Case Reports 2023, 16: e254727. PMID: 38035681, PMCID: PMC10689362, DOI: 10.1136/bcr-2023-254727.Peer-Reviewed Case Reports and Technical NotesMeSH KeywordsAdultAtrophyGastritisGastritis, AtrophicHumansMaleNitrous OxideSpinal CordSubacute Combined DegenerationVitamin B 12Vitamin B 12 DeficiencyConceptsAutoimmune atrophic gastritisNitrous oxide useAtrophic gastritisCombined degenerationSpinal cordRecreational nitrous oxide useSubacute combined degenerationVitamin B12 deficiencySubstance use disordersConcomitant etiologiesNeuropsychiatric manifestationsB12 deficiencyNeuropsychiatric sequelaePsychiatric comorbiditySecondary causesClinical pearlsDifferential diagnosisTimely treatmentUse disordersCommon drugsNutritional deficienciesVitamin B12Myelin sheathAlternative causesYoung adults