Subject: As was said before, nitrous oxide with a B12 deficiency pre-existing, causes diseases such as fatigue, dementia etc syndromes and spinal nerve damage
Dear Topica et al,
I hope this note finds You well
The impression is that some characters knew about the dangers of nitrous oxide gas before it was reported at the Medical Literature
This material is from the 1990's
Cordially,
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"A contraindication to nitrous oxide"
Southampton General Hospital, Southampton SO16 6XY, UK
First published: March 1999
DOI: 10.1046/j.1365-2044.1999.0811w.xView/save citation
Nitrous oxide is a widely used, safe, anaesthetic without adverse effects in routine clinical use. However, patients who have a pre-existing vitamin B12 or folate abnormality, whether inherited or acquired, are at particular risk of nitrous oxide toxicity
[1]. This was brought to my attention when asked to anaesthetise a patient with the extremely rare disorder, dihydropteridine reductase (DHPR) deficiency. This is a rare inherited disorder of pterin metabolism and defective folate metabolism is an important
feature. It is suggested that in patients with DHPR deficiency, accumulating dihydropterins (BH2) inhibit the enzymes important for folate turnover, and thus render the patient folate deplete [2].
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Regarding the nitrous oxide-Essential Vitamine B12 deficiencies, some would say that because of the damage to the myelin, it could be described as a nerve gas
The worst case scenarios are when the Patient is deficient of B12 prior to the nitrous exposure, since when the methionine synthase enzyme is blocked, then the scavenging pathway is shut down for that cobalamin pathway (B12)
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