Interesting case of ataxia, what's your differential diagnos
Raghav Sharma
Interesting case of ataxia, what's your differential diagnosis?
20 year old woman with "weakness and numbness in her legs" and not able to walk

Full strength dysmetria of the legs (L worse than R)

Position sense off

Reflexes normal

She has been using N2O every day for the last year.

Some urinary incontinence and memory issues

Trouble walking in her words "only really started 2-3 days ago"

She has an elevated MCV and RDW (although hematocrit normal)

Her B12 is also low

Electrolytes are normal
R●●●●a S●●●●a and 9 others like this1 share
Dr. A●●●●l A●●●●●l
Dr. A●●●●l A●●●●●l Internal Medicine
N2O can ppt B12 defficiency , case of subacute degeneration of spinal cord
Nov 25, 2016Like
K●●●a d●●●●i
k●●●a d●●●●i General Medicine
N2O causing myeloneuropathy..
Nov 25, 2016Like
Dr. V●●●●a S●●●●●●●a
Dr. V●●●●a S●●●●●●●a General Medicine
Subacute combined degeneration
Nov 25, 2016Like