{"id":"https://openalex.org/W7224993653","doi":"https://doi.org/10.5811/cpcem.64776","title":"Nitrous Oxide \u201cWhippet\u201d Induced Subacute Combined Degeneration of the Spinal Cord: A Case Report","display_name":"Nitrous Oxide \u201cWhippet\u201d Induced Subacute Combined Degeneration of the Spinal Cord: A Case Report","publication_year":2026,"publication_date":"2026-10-31","ids":{"openalex":"https://openalex.org/W7224993653","doi":"https://doi.org/10.5811/cpcem.64776"},"language":"en","primary_location":{"id":"doi:10.5811/cpcem.64776","doi":"https://doi.org/10.5811/cpcem.64776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.64776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.5811/cpcem.64776","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160273977","display_name":"Joshua Kern","orcid":"https://orcid.org/0000-0003-0406-5234","observed_orcids":["https://orcid.org/0000-0003-0406-5234"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joshua Kern","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-0406-5234","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5040283293","display_name":"Carolyn Shanks","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carolyn Shanks","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":500,"currency":"USD","value_usd":500},"apc_paid":{"value":500,"currency":"USD","value_usd":500},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86636352,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"0","issue":"0","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10499","display_name":"Folate and B Vitamins Research","score":0.41190001368522644,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10499","display_name":"Folate and B Vitamins Research","score":0.41190001368522644,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11735","display_name":"Peripheral Neuropathies and Disorders","score":0.32280001044273376,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13533","display_name":"Medical Case Reports and Studies","score":0.13840000331401825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/subacute-combined-degeneration-of-the-spinal-cord","display_name":"subacute combined degeneration","score":0.9449999928474426},{"id":"https://openalex.org/keywords/nitrous-oxide","display_name":"nitrous oxide","score":0.9079999923706055},{"id":"https://openalex.org/keywords/vitamin-b12-deficiency","display_name":"vitamin B12 deficiency","score":0.9860000014305115},{"id":"https://openalex.org/keywords/spinal-cord-demyelination","display_name":"spinal cord demyelination","score":0.9350000023841858},{"id":"https://openalex.org/keywords/ataxia","display_name":"ataxia","score":0.8600000143051147},{"id":"https://openalex.org/keywords/paresthesia","display_name":"paresthesia","score":0.9380000233650208},{"id":"https://openalex.org/keywords/neurological-complications","display_name":"neurological complications","score":0.4620000123977661}],"concepts":[{"id":"https://openalex.org/C2777573673","wikidata":"https://www.wikidata.org/wiki/Q905750","display_name":"Nitrous oxide","level":2,"score":0.8755000233650208},{"id":"https://openalex.org/C2910828645","wikidata":"https://www.wikidata.org/wiki/Q1424137","display_name":"Subacute Combined Degeneration","level":3,"score":0.8446999788284302},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7354000210762024},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.6453999876976013},{"id":"https://openalex.org/C2779750884","wikidata":"https://www.wikidata.org/wiki/Q187706","display_name":"Vitamin B12","level":2,"score":0.6251000165939331},{"id":"https://openalex.org/C131140426","wikidata":"https://www.wikidata.org/wiki/Q900521","display_name":"Intoxicative inhalant","level":2,"score":0.6118000149726868},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.6104999780654907},{"id":"https://openalex.org/C2776954882","wikidata":"https://www.wikidata.org/wiki/Q840343","display_name":"Inhalation","level":2,"score":0.48399999737739563},{"id":"https://openalex.org/C2779354088","wikidata":"https://www.wikidata.org/wiki/Q15467261","display_name":"Degeneration (medical)","level":2,"score":0.4832000136375427},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.366100013256073},{"id":"https://openalex.org/C2778188105","wikidata":"https://www.wikidata.org/wiki/Q769220","display_name":"Tingling","level":2,"score":0.3483000099658966},{"id":"https://openalex.org/C2776940978","wikidata":"https://www.wikidata.org/wiki/Q34956","display_name":"Vitamin","level":2,"score":0.32190001010894775},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.32030001282691956},{"id":"https://openalex.org/C2780829489","wikidata":"https://www.wikidata.org/wiki/Q252251","display_name":"Cyanocobalamin","level":3,"score":0.2913999855518341},{"id":"https://openalex.org/C2776291583","wikidata":"https://www.wikidata.org/wiki/Q432083","display_name":"Intramuscular injection","level":2,"score":0.2824999988079071},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.2802000045776367},{"id":"https://openalex.org/C2910738821","wikidata":"https://www.wikidata.org/wiki/Q7708739","display_name":"Recreational Drug","level":3,"score":0.2784000039100647},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.2653000056743622},{"id":"https://openalex.org/C2779618896","wikidata":"https://www.wikidata.org/wiki/Q107231","display_name":"Paralysis","level":2,"score":0.262800008058548},{"id":"https://openalex.org/C3018963737","wikidata":"https://www.wikidata.org/wiki/Q3339235","display_name":"Neurologic disease","level":3,"score":0.25619998574256897},{"id":"https://openalex.org/C2987518239","wikidata":"https://www.wikidata.org/wiki/Q1080497","display_name":"Right hemisphere","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.5811/cpcem.64776","doi":"https://doi.org/10.5811/cpcem.64776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.64776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.5811/cpcem.64776","doi":"https://doi.org/10.5811/cpcem.64776","is_oa":true,"landing_page_url":"https://doi.org/10.5811/cpcem.64776","pdf_url":null,"source":{"id":"https://openalex.org/S4210236172","display_name":"Clinical Practice and Cases in Emergency Medicine","issn_l":"2474-252X","issn":["2474-252X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320339","host_organization_name":"eScholarship Publishing, University of California","host_organization_lineage":["https://openalex.org/P4310320339"],"host_organization_lineage_names":["eScholarship Publishing, University of California"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Practice and Cases in Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4390938222","https://openalex.org/W3211389796","https://openalex.org/W4389404569","https://openalex.org/W4319812048","https://openalex.org/W4221066415","https://openalex.org/W4391677821","https://openalex.org/W4394753175","https://openalex.org/W7163818314","https://openalex.org/W2971630805","https://openalex.org/W4220910828"],"abstract_inverted_index":{"Introduction:":[0],"Subacute":[1],"combined":[2],"degeneration":[3],"(SCD)":[4],"is":[5,116],"an":[6,43],"uncommon":[7],"neurologic":[8,81,143],"complication":[9,91],"of":[10,17,23,46,66,92,119,135],"vitamin":[11,48,129],"B12":[12,49,130],"deficiency":[13,50],"characterized":[14],"by":[15],"demyelination":[16],"the":[18,24,76],"dorsal":[19],"and":[20,33,51,111,125],"lateral":[21],"columns":[22],"spinal":[25],"cord,":[26],"resulting":[27],"in":[28,56,70,104],"weakness,":[29,109],"paresthesias,":[30],"sensory":[31],"deficits,":[32],"gait":[34],"ataxia.":[35],"Recreational":[36],"nitrous":[37,67,94,136],"oxide":[38,95,137],"inhalation":[39],"has":[40],"emerged":[41],"as":[42],"important":[44],"cause":[45],"functional":[47],"may":[52],"precipitate":[53],"SCD,":[54],"particularly":[55,113],"otherwise":[57],"healthy":[58],"individuals.":[59],"Case":[60],"Report:":[61],"We":[62],"report":[63],"a":[64,71,86,117],"case":[65,84],"oxide-associated":[68],"SCD":[69,100],"patient":[72],"who":[73],"presented":[74],"to":[75,141],"emergency":[77],"department":[78],"with":[79,107,127,133],"progressive":[80],"symptoms.":[82],"This":[83],"illustrates":[85],"rare":[87],"but":[88],"increasingly":[89],"recognized":[90],"recreational":[93,120],"use.":[96,122],"Conclusion:":[97],"Nitrous":[98],"oxide-induced":[99],"should":[101],"be":[102],"considered":[103],"patients":[105],"presenting":[106],"subacute":[108],"paresthesia,":[110],"ataxia,":[112],"when":[114],"there":[115],"history":[118],"inhalant":[121],"Early":[123],"recognition":[124],"treatment":[126],"intramuscular":[128],"replacement,":[131],"together":[132],"cessation":[134],"exposure,":[138],"are":[139],"essential":[140],"optimize":[142],"recovery.":[144]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-01T00:00:00"}
