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畏惧死神:食用辣椒后出现的可逆性脑血管收缩综合征

Fear the reaper: reversible cerebrovascular vasoconstriction syndrome after hot pepper ingestion.

作者信息

Taylor Charlotte S, Kelly Brandon M, Nichols Todd A

机构信息

Department of Radiology, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, USA.

出版信息

Radiol Case Rep. 2020 Apr 5;15(6):641-643. doi: 10.1016/j.radcr.2020.02.025. eCollection 2020 Jun.

DOI:10.1016/j.radcr.2020.02.025
PMID:32280392
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7136587/
Abstract

The Carolina Reaper pepper is one of the spiciest edible peppers in the world. While localized symptoms such as mouth burning, mouth numbness, and even vomiting are the main risks of eating these peppers, recent case reports have revealed more serious complications of these potent foods. A 15-year-old healthy male ingested a Carolina Reaper pepper on a dare. Two days later, he developed an acute headache during football practice and was subsequently diagnosed with an acute cerebellar infarct and reversible cerebrovascular vasoconstriction syndrome. Reversible cerebral vasoconstriction syndrome should be considered in patients who present with severe headache after ingestion of ultraspicy peppers, and early treatment of reversible cerebral vasoconstriction syndrome should be initiated in patients with severe headache after pepper ingestion.

摘要

卡罗莱纳死神辣椒是世界上最辣的可食用辣椒之一。虽然食用这些辣椒的主要风险是口腔灼烧、口腔麻木甚至呕吐等局部症状,但最近的病例报告显示了这些强效食物更严重的并发症。一名15岁健康男性在 dared(此处原文可能有误,推测是dare,意为挑战)下食用了一个卡罗莱纳死神辣椒。两天后,他在足球训练时出现急性头痛,随后被诊断为急性小脑梗死和可逆性脑血管收缩综合征。对于食用超辣辣椒后出现严重头痛的患者,应考虑可逆性脑血管收缩综合征,对于食用辣椒后出现严重头痛的患者,应尽早开始对可逆性脑血管收缩综合征进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8d/7136587/d997f14dacf8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8d/7136587/c4218d7bf656/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8d/7136587/d997f14dacf8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8d/7136587/c4218d7bf656/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8d/7136587/d997f14dacf8/gr2.jpg

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本文引用的文献

1
An unusual cause of thunderclap headache after eating the hottest pepper in the world - "The Carolina Reaper".食用世界上最辣的辣椒——“卡罗莱纳死神辣椒”后出现霹雳性头痛的罕见原因。
BMJ Case Rep. 2018 Apr 9;2018:bcr-2017-224085. doi: 10.1136/bcr-2017-224085.
2
Esophageal Rupture After Ghost Pepper Ingestion.食用鬼椒后食管破裂
J Emerg Med. 2016 Dec;51(6):e141-e143. doi: 10.1016/j.jemermed.2016.05.061. Epub 2016 Sep 29.
3
Reversible Cerebral Vasoconstriction Syndrome, Part 2: Diagnostic Work-Up, Imaging Evaluation, and Differential Diagnosis.
可逆性脑血管收缩综合征,第二部分:诊断检查、影像学评估及鉴别诊断
AJNR Am J Neuroradiol. 2015 Sep;36(9):1580-8. doi: 10.3174/ajnr.A4215. Epub 2015 Jan 22.
4
Acute myocardial infarction and coronary vasospasm associated with the ingestion of cayenne pepper pills in a 25-year-old male.一名25岁男性因服用辣椒丸出现急性心肌梗死和冠状动脉痉挛。
Int J Emerg Med. 2012 Jan 20;5:5. doi: 10.1186/1865-1380-5-5.
5
Reversible cerebral vasoconstriction syndromes: analysis of 139 cases.可逆性脑血管收缩综合征:139例分析
Arch Neurol. 2011 Aug;68(8):1005-12. doi: 10.1001/archneurol.2011.68. Epub 2011 Apr 11.