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Isolated intractable nausea and vomiting with hiccups heralds a neuromyelitis optica area postrema syndrome
Author(s) -
Lubomski Michal,
Lubomski Jacqueline,
Tan Irene,
Hayes Michael
Publication year - 2018
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12169
Subject(s) - hiccups , medicine , area postrema , neuromyelitis optica , vomiting , nausea , anesthesia , multiple sclerosis , psychiatry , central nervous system
A 23-year-old woman presented with intractable nausea, vomiting and hiccups over one-month, with no visual changes or features of myelitis. Extensive gastroenterological work-up was unremarkable. MRI brain and spine with gadolinium was normal aside from an isolated focal hyperintense T2/FLAIR signal with enhancement in the posterior inferior medulla oblongata, in the area postrema (Figure 1). This article is protected by copyright. All rights reserved.