[Postoperative combined medullary sclerosis revealing Biermer's disease: toxic effect of nitrous oxide].
Combined medullary sclerosis developed suddenly postoperatively in a patient with unknown Biermer's disease. The neurological lesions were undoubtedly induced by nitrogen protoxide via an inactivation of vitamin B12.
Vinciguerra
C
C
Service de Médecine Interne et Rhumatologie, Hôpital de la Croix Saint-Simon, Paris.
Chazerain
P
P
Olivero de Rubiana
J P
JP
Moulonguet
A
A
Ziza
J M
JM
D013766:5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase / Q000037:antagonists & inhibitors; D000038:Abscess / Q000601:surgery; D000368:Aged; D000752:Anemia, Pernicious / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D018685:Anesthetics, Inhalation / Q000009:adverse effects* / Q000494:pharmacology; D019644:Arthroplasty, Replacement, Hip; D001284:Atrophy; D001323:Autoantibodies / Q000097:blood / Q000276:immunology; D001327:Autoimmune Diseases / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D003711:Demyelinating Diseases / Q000139:chemically induced*; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D007408:Intestinal Absorption; D007437:Intrinsic Factor / Q000276:immunology; D009609:Nitrous Oxide / Q000009:adverse effects* / Q000494:pharmacology; D010084:Oxidation-Reduction; D010292:Paresthesia / Q000139:chemically induced*; D011183:Postoperative Complications / Q000139:chemically induced*; D011434:Proprioception / Q000502:physiology; D012436:S-Adenosylmethionine / Q000172:deficiency; D012598:Sclerosis; D013116:Spinal Cord / Q000473:pathology*; D013118:Spinal Cord Diseases / Q000139:chemically induced* / Q000209:etiology; D013530:Surgical Wound Infection / Q000601:surgery; D014805:Vitamin B 12 / Q000037:antagonists & inhibitors* / Q000493:pharmacokinetics / Q000627:therapeutic use
D018685:Anesthetics, Inhalation; D001323:Autoantibodies; D012436:S-Adenosylmethionine; D007437:Intrinsic Factor; D013766:5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase; D009609:Nitrous Oxide; D014805:Vitamin B 12