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Case Reports
Intractable Nausea Due to the Area Postrema Syndrome of Neuromyelitis Optica: An Uncommon Cause of a Common Symptom.
- Allison Snyder, Angela D Smedley, and Stephen G Reich.
- Department of Neurology, University of Maryland, Baltimore, Maryland.
- J Emerg Med. 2017 Nov 1; 53 (5): e73-e76.
BackgroundNausea 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 ReportWe 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.Copyright © 2017 Elsevier Inc. All rights reserved.
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