Clinical reasoning: a 20-year-old woman with coma and quadriplegia

被引：0

作者：

Shao-wei Zheng

Hong-hong Pei

Long-fei Pan

机构：

[1] Department of Emergency Medicine

[2] the Second Affiliated Hospital of Xi’an Jiaotong University

来源：

World Journal of Emergency Medicine | 2023年 / 14卷 / 02期

关键词：

D O I：

暂无

中图分类号：

R744.6 [亚急性合并变性];

学科分类号：

1002 ;

摘要：

<正>Dear editor,Subacute combined degeneration(SCD) of the spinal cord, which is mainly caused by vitamin B12 deficiency, reveals damage in posterior and lateral columns and peripheral nerves. The CNS and cranial nerves are rarely involved except in children.[1,2] Spinal cord MRI abnormal long T1 and T2 signs in the posterior funiculus has specificity for the diagnosis.[3] There have been many case reports about SCD induced by nitrous oxide anaesthesia or entertainment.

引用

页码：169 / 170

页数：2

共 5 条

[1]

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[2]

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[3]

Neurological disorders in vitamin B12 deficiency.[J] Pavlov Ch S;Damulin I V;Shulpekova Yu O;Andreev E A Terapevticheskii arkhiv 2019,

[4]

Recreational nitrous oxide-associated neurotoxicity.[J] Johnson Kate;Mikhail Philopatir;Kim Myong Gyu;Bosco Annmarie;Huynh William Journal of neurology; neurosurgery; and psychiatry 2018,

[5]

Spine MR imaging features of subacute combined degeneration patients.[J] Sun Hye Young;Lee Joon Woo;Park Kyung Seok;Wi Jae Yeon;Kang Heung Sik European spine journal : official publication of the European Spine Society; the European Spinal Deformity Society; and the European Section of the Cervical Spine Research Society 2014,

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