PDF(Pubmed)
Abstract：
BACKGROUND: Over the last decade, there has been an emerging trend of recreational misuse of several drugs and inhaled solvent including ethyl chloride. This case report follows CARE guidelines and highlights, with supporting video, the neurological features of ethyl chloride intoxication.
METHODS: A 48-year-old man was seen for the sudden occurrence of an unsteady gait with dizziness. His only medical history was a chronic and treated HIV infection without any complications. Clinical examination revealed a cerebellar syndrome associated with impairment of short-term memory. Biological and radiological workups were normal. After several days, the patient recalled ethyl chloride inhalation. He fully recovered after being discharged from hospital.
CONCLUSIONS: Clinicians should recognise the clinical features and neurological manifestations of ethyl chloride intoxication due to the potential fatal cardiovascular complications of this intoxication.
METHODS: A 48-year-old man was seen for the sudden occurrence of an unsteady gait with dizziness. His only medical history was a chronic and treated HIV infection without any complications. Clinical examination revealed a cerebellar syndrome associated with impairment of short-term memory. Biological and radiological workups were normal. After several days, the patient recalled ethyl chloride inhalation. He fully recovered after being discharged from hospital.
CONCLUSIONS: Clinicians should recognise the clinical features and neurological manifestations of ethyl chloride intoxication due to the potential fatal cardiovascular complications of this intoxication.
摘要：
背景：在过去的十年中，娱乐性滥用几种药物和包括氯乙烷在内的吸入溶剂的趋势正在出现。本病例报告遵循CARE指南和要点，支持视频，氯乙烷中毒的神经特征.
方法：发现一名48岁男子突然出现不稳定步态并伴有头晕。他唯一的病史是慢性HIV感染，没有任何并发症。临床检查显示小脑综合征与短期记忆障碍有关。生物和放射学检查正常。几天后,患者回忆吸入氯乙烷。他出院后完全康复。
结论：临床医生应认识到氯乙烷中毒的临床特征和神经系统表现，因为氯乙烷中毒可能导致致命的心血管并发症。
方法：发现一名48岁男子突然出现不稳定步态并伴有头晕。他唯一的病史是慢性HIV感染，没有任何并发症。临床检查显示小脑综合征与短期记忆障碍有关。生物和放射学检查正常。几天后,患者回忆吸入氯乙烷。他出院后完全康复。
结论：临床医生应认识到氯乙烷中毒的临床特征和神经系统表现，因为氯乙烷中毒可能导致致命的心血管并发症。
