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Marcotta and Kesserwani (2020) studied a 41-year-old man who developed Lhermitte’s sign after buying whipped cream chargers in canisters from the internet and consuming 8 – 30 per day for a year, each containing 8g of nitrous oxide that was emptied into a balloon and inhaled for 1 – 2 minutes: Describing the experience elicited by neck flexion as a powerful tingling vibration that travelled down the arms, trunk, and legs, continuing down to the feet Symptoms were a stiff neck, and experiencing an “electrifying sensation” in the anterior abdomen whilst elevating arms due to posterior cord demyelination and mild bilateral peri-atrial hazy demyelination [13] 15% develop Lhermitte’s sign after abusing laughing gas for 3 – 18 months, although the electric shock sensation begins to subside after two weeks of taking 5mg doses of sublingual vitamin B12 and 4mg folic acid daily [12][13]

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I (Intervention): sublingual/oral administration of Vitamin B12