Recognizing Ethyl Chloride Neurotoxicity: Inhalant Abuse Hidden in Plain Sight
Ethyl chloride is a common topical anesthetic. However, when abused as an inhalant, effects can range from headaches and dizziness to debilitating neurotoxicity requiring intubation. While previous case reports describe the short-term reversible neurotoxicity of ethyl chloride, ours show chronic mor...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-04, Vol.15 (4), p.e37795 |
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| container_title | Curēus (Palo Alto, CA) |
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| creator | Young, 4th, Robert Carter, Cody Cardinali, Serge Khan, Zeryab Bennett, Katelyn Jarosz, Amy Sobecki, Jeffery Sharma, Rupali Martin, Ryan |
| description | Ethyl chloride is a common topical anesthetic. However, when abused as an inhalant, effects can range from headaches and dizziness to debilitating neurotoxicity requiring intubation. While previous case reports describe the short-term reversible neurotoxicity of ethyl chloride, ours show chronic morbidity and mortality outcome. During the initial evaluation, it is essential to consider the rising trend of commercially available inhalants being used as recreational drugs. We present a case of a middle-aged man presenting with subacute neurotoxicity due to repeated abuse of ethyl chloride. |
| doi_str_mv | 10.7759/cureus.37795 |
| format | Article |
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However, when abused as an inhalant, effects can range from headaches and dizziness to debilitating neurotoxicity requiring intubation. While previous case reports describe the short-term reversible neurotoxicity of ethyl chloride, ours show chronic morbidity and mortality outcome. During the initial evaluation, it is essential to consider the rising trend of commercially available inhalants being used as recreational drugs. We present a case of a middle-aged man presenting with subacute neurotoxicity due to repeated abuse of ethyl chloride.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.37795</identifier><identifier>PMID: 37214062</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Ataxia ; Cardiac arrhythmia ; Case reports ; Chloride ; Cognitive ability ; Drug dosages ; Hallucinations ; Headaches ; Hydrocarbons ; Mental depression ; Mortality ; Nausea ; Neurology ; Ophthalmology ; Patients ; Physical therapy ; Recreational drugs ; Solvent abuse ; Substance Use and Addiction</subject><ispartof>Curēus (Palo Alto, CA), 2023-04, Vol.15 (4), p.e37795</ispartof><rights>Copyright © 2023, Young et al.</rights><rights>Copyright © 2023, Young et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Young et al. 2023 Young et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c310t-d9a919999889b15493d3ec0a4fb8e0eb28607f1c6403807bbdb9da2e0637ca033</citedby><cites>FETCH-LOGICAL-c310t-d9a919999889b15493d3ec0a4fb8e0eb28607f1c6403807bbdb9da2e0637ca033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10195209/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10195209/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37214062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Young, 4th, Robert</creatorcontrib><creatorcontrib>Carter, Cody</creatorcontrib><creatorcontrib>Cardinali, Serge</creatorcontrib><creatorcontrib>Khan, Zeryab</creatorcontrib><creatorcontrib>Bennett, Katelyn</creatorcontrib><creatorcontrib>Jarosz, Amy</creatorcontrib><creatorcontrib>Sobecki, Jeffery</creatorcontrib><creatorcontrib>Sharma, Rupali</creatorcontrib><creatorcontrib>Martin, Ryan</creatorcontrib><title>Recognizing Ethyl Chloride Neurotoxicity: Inhalant Abuse Hidden in Plain Sight</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Ethyl chloride is a common topical anesthetic. However, when abused as an inhalant, effects can range from headaches and dizziness to debilitating neurotoxicity requiring intubation. While previous case reports describe the short-term reversible neurotoxicity of ethyl chloride, ours show chronic morbidity and mortality outcome. During the initial evaluation, it is essential to consider the rising trend of commercially available inhalants being used as recreational drugs. We present a case of a middle-aged man presenting with subacute neurotoxicity due to repeated abuse of ethyl chloride.</description><subject>Ataxia</subject><subject>Cardiac arrhythmia</subject><subject>Case reports</subject><subject>Chloride</subject><subject>Cognitive ability</subject><subject>Drug dosages</subject><subject>Hallucinations</subject><subject>Headaches</subject><subject>Hydrocarbons</subject><subject>Mental depression</subject><subject>Mortality</subject><subject>Nausea</subject><subject>Neurology</subject><subject>Ophthalmology</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Recreational drugs</subject><subject>Solvent abuse</subject><subject>Substance Use and Addiction</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkd9LwzAQx4MobqhvPkvBV6eXpG0SX2QMdQOZ4o_nkKZpm9ElM23F-ddbncq8h7uD-_C9474IHWM4ZywRF7oLpmvOKWMi2UFDglM-4pjHu1v9AB01zQIAMDACDPbRgDKCY0jJEM0fjfalsx_WldF1W63raFLVPtjcRHPTBd_6d6ttu76MZq5StXJtNM66xkRTm-fGRdZFD7Xq85Mtq_YQ7RWqbszRTz1ALzfXz5Pp6O7-djYZ3400xdCOcqEEFn1wLjKcxILm1GhQcZFxAyYjPAVWYJ3GQDmwLMszkStiIKVMK6D0AF1tdFddtjS5Nq4NqparYJcqrKVXVv6fOFvJ0r9JDFgkBESvcPqjEPxrZ5pWLnwXXH-0JJxgwnCS4p4621A6-KYJpvhbgUF-OSA3DshvB3r8ZPusP_j33_QT1IaC-Q</recordid><startdate>20230418</startdate><enddate>20230418</enddate><creator>Young, 4th, Robert</creator><creator>Carter, Cody</creator><creator>Cardinali, Serge</creator><creator>Khan, Zeryab</creator><creator>Bennett, Katelyn</creator><creator>Jarosz, Amy</creator><creator>Sobecki, Jeffery</creator><creator>Sharma, Rupali</creator><creator>Martin, Ryan</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230418</creationdate><title>Recognizing Ethyl Chloride Neurotoxicity: Inhalant Abuse Hidden in Plain Sight</title><author>Young, 4th, Robert ; 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| subjects | Ataxia Cardiac arrhythmia Case reports Chloride Cognitive ability Drug dosages Hallucinations Headaches Hydrocarbons Mental depression Mortality Nausea Neurology Ophthalmology Patients Physical therapy Recreational drugs Solvent abuse Substance Use and Addiction |
| title | Recognizing Ethyl Chloride Neurotoxicity: Inhalant Abuse Hidden in Plain Sight |
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