Nitrous Oxide-Induced Neuropathy among Recreational Users in Vietnam.

Int J Environ Res Public Health

Vietnam Poison Control Center, Bach Mai Hospital, Hanoi 100000, Vietnam.

Published: June 2021

Nitrous oxide (NO) commonly referred to as laughing gas, has significant medical uses. This study aims to describe the neurological disorders associated with NO. We conducted across-sectional study that enrolled patients with nitrous oxide toxicity admitted to Vietnam Poison Control Center, Bach Mai Hospital, Hanoi, Vietnam from June 2018 to July 2019. The questionnaire included demographic characteristics, characteristics of using NO, signs and clinical symptoms, neuroimaging findings, injury on electromyography (EMG) and the Total Neuropathy Score clinical version (TNSc) criteria. A total of 47 participants were included with mean age: 24.38 ± 6.20 years. The number of balloons used per week was 130.59 ± 117.43. The mean duration of NO exposure was 8.79 ± 7.1 months. Multivariate linear logistic regression revealed that the number of NO balloons used per week was significantly associated with TNSc point (Beta: 0.315; 95% CI: 0.001-0.022). We found that myeloneuropathy and peripheral neuropathy were the main neurological disorders related to NO abuse, which should improve the awareness of the appearance of neurological disorders associated with NO abuse.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296096PMC
http://dx.doi.org/10.3390/ijerph18126230DOI Listing

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