Panda Samhita, Verma Diwakar
Department of Neurology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Neurosci Rural Pract. 2020 Jan;11(1):202-204. doi: 10.1055/s-0040-1701368. Epub 2020 Mar 3.
Demyelinating disorders of the central nervous system are diseases that affect the optic nerves, brain, and spinal cord, leading to visual loss, brainstem dysfunction, and locomotor dysfunction. Intractable vomiting is a rare phenomenon seen due to the involvement of the medulla oblongata in neuromyelitis optica, a rare autoimmune demyelinating disorder. We present our experience with a 33-year-old male who presented to our facility with complaints of intractable hiccups. After extensive evaluation, he was found to have parainfectious myelitis. His symptoms completely resolved following institution of appropriate therapy. Through this report, we hope to bring attention to an unusual cause of intractable hiccups that may often go undiagnosed in general practice.
中枢神经系统脱髓鞘疾病是影响视神经、脑和脊髓的疾病，可导致视力丧失、脑干功能障碍和运动功能障碍。顽固性呕吐是视神经脊髓炎（一种罕见的自身免疫性脱髓鞘疾病）累及延髓时出现的罕见现象。我们报告了一名33岁男性患者的情况，他因顽固性呃逆前来我院就诊。经过全面评估，发现他患有感染后脊髓炎。经过适当治疗，他的症状完全缓解。通过本报告，我们希望引起大家对一种顽固性呃逆的不寻常病因的关注，这种病因在普通临床实践中可能常常未被诊断出来。
