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Kulkantrakorn et al (2024) found that 7 patients aged 19 – 32 developed acute or subacute ataxia after misusing nitrous oxide for up to 1 year, leading to: A wide-based gait, unsteadiness, and weakness in the arms and legs caused by hyper signal intensity at the posterior aspect of the spinal cord (along C4-C7 levels) after 9 months of daily inhalation Motor weakness in both legs (graded 3 out of 5 on the MRC scale), residual footdrop, and distal foot numbness due to segmental T2 hyperintense foci at the posterolateral cord after using nitrous oxide twice weekly for over 2 months Ataxic neuropathy and instability during a tandem walk after 6 months of weekly use, with weakness in ankle and toe movements and ongoing balance issues (e.g

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Still trying to picture what’s going on inside