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Nitrous Oxide Anesthesia-Associated Myelopathy ArchNeurol 57:380-382, Marie,R.,et al, 2000 See this aricle in Pubmed Article Abstract Pernicious anemia can result in severe neurologic symptoms with only mild hematologic changes. The role of nitrous oxide anesthesia in revealing subclinical B-12 deficiency must be emphasized. Magnetic resonance imaging of the spinal cord might be helpful in making the diagnosis.

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