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Hirvioja J, Joutsa J, Wahlsten P, et al. Recurrent paraparesis and death of a patient with 'whippet' abuse. Oxf Med Case Reports. 2016;2016(3):41-3doi: 10.1093/omcr/omw012.
Hirvioja, J., Joutsa, J., Wahlsten, P., & Korpela, J. (2016). Recurrent paraparesis and death of a patient with 'whippet' abuse. Oxford medical case reports, 2016(3), 41-3. https://doi.org/10.1093/omcr/omw012
Hirvioja, Jouni, et al. "Recurrent paraparesis and death of a patient with 'whippet' abuse." Oxford medical case reports vol. 2016,3 (2016): 41-3. doi: https://doi.org/10.1093/omcr/omw012
Hirvioja J, Joutsa J, Wahlsten P, Korpela J. Recurrent paraparesis and death of a patient with 'whippet' abuse. Oxf Med Case Reports. 2016 Mar 16;2016(3):41-3. doi: 10.1093/omcr/omw012. eCollection 2016 Mar. PMID: 26989492; PMCID: PMC4794556.
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Oxf Med Case Reports. 2016 Mar 16;2016(3):41-3. doi: 10.1093/omcr/omw012. eCollection 2016 Mar.

Recurrent paraparesis and death of a patient with 'whippet' abuse.

Oxford medical case reports

Jouni Hirvioja, Juho Joutsa, Pia Wahlsten, Jaana Korpela

Affiliations

  1. Department of Emergency Medicine , Turku University Hospital , Turku , Finland.
  2. Division of Clinical Neurosciences, Turku University Hospital, Turku, Finland; Department of Clinical Neurophysiology, Turku University Hospital, Turku, Finland; Department of Neurology, University of Turku, Turku, Finland.
  3. National Institute for Health and Welfare , Turku , Finland.
  4. Division of Clinical Neurosciences , Turku University Hospital , Turku , Finland.

PMID: 26989492 PMCID: PMC4794556 DOI: 10.1093/omcr/omw012

Abstract

Nitrous oxide is increasingly used as a recreational drug that is easily and legally available worldwide. Occasional nitrous oxide use has been considered relatively safe without the development of addiction or major adverse effects. However, heavy long-term nitrous oxide abuse can be associated with severe neurological complications, and even deaths have been described. The characteristic presentation is myeloneuropathy with dorsal column degeneration and demyelinating sensory polyneuropathy related to vitamin B12 deficiency. Described is a 23-year-old male who developed recurrent paraparesis related to nitrous oxide abuse. A second, more severe, episode of paraparesis was associated with predominantly lower motor neuron damage. A partial recovery was achieved by discontinuation of nitrous oxide use and initiation of vitamin B12 supplementation. However, the patient relapsed and ultimately died while being intoxicated with several abusive substances. The case adds to the cumulative literature about the clinical phenomenology and dangers of nitrous oxide abuse.

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