视神经脊髓炎最后区综合征所致顽固性恶心：常见症状的罕见病因
Intractable Nausea Due to the Area Postrema Syndrome of Neuromyelitis Optica: An Uncommon Cause of a Common Symptom.
作者信息
Snyder Allison, Smedley Angela D, Reich Stephen G
机构信息
Department of Neurology, University of Maryland, Baltimore, Maryland.
Department of Emergency Medicine, University of Maryland, Baltimore, Maryland.
出版信息
J Emerg Med. 2017 Nov;53(5):e73-e76. doi: 10.1016/j.jemermed.2017.06.031. Epub 2017 Oct 5.
BACKGROUND
Nausea and vomiting are common emergency department (ED) complaints. Neuromyelitis optica, a demyelinating disorder, has a predilection for the area postrema, the central nausea and vomiting center. Demyelinating lesions in this region cause intractable nausea and vomiting.
CASE REPORT
We present a case of area postrema syndrome due to neuromyelitis optica in a 34-year-old woman who was seen in several EDs before the appropriate diagnosis was made. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Nausea and vomiting are complaints that commonly bring people to the ED, thus, emergency physicians are likely to be the first to encounter and diagnose the area postrema syndrome.
背景
恶心和呕吐是急诊科常见的主诉。视神经脊髓炎是一种脱髓鞘疾病，易累及最后区，即中枢性恶心和呕吐中枢。该区域的脱髓鞘病变可导致顽固性恶心和呕吐。
病例报告
我们报告一例34岁女性因视神经脊髓炎导致的最后区综合征病例，该患者在确诊前辗转于多家急诊科就诊。
为什么急诊医生应该了解这一情况？：恶心和呕吐是促使人们前往急诊科就诊的常见主诉，因此，急诊医生很可能是最早接诊并诊断最后区综合征的医生。
Zotero 插件