Lamont E B, Sayah A
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Emerg Med. 1997 Sep-Oct;15(5):633-5. doi: 10.1016/s0736-4679(97)00140-6.
We report a patient with multiple negative evaluations during emergency department visits and inpatient admissions for unexplained, intermittent nausea, vomiting, and abdominal pain. The etiology of her symptoms was not revealed until her 13th hospital visit, when head magnetic resonance imaging suggested active neurocysticercosis. Central etiologies should be considered for intractable nausea and vomiting in neurologically intact patients even if head computed-assisted tomography scan is negative.
我们报告了一名患者，她因不明原因的间歇性恶心、呕吐和腹痛在急诊科就诊及住院期间接受了多次检查均为阴性。直到她第13次住院时，头部磁共振成像显示活动性神经囊尾蚴病，其症状的病因才得以揭示。对于神经系统正常的患者出现顽固性恶心和呕吐，即使头部计算机断层扫描结果为阴性，也应考虑中枢性病因。
