Pearls & Oy-sters: A cause of intractable vomiting
A 50-year-old Chinese woman with hypertension and hyperlipidemia presented with 2 months of progressive intractable vomiting. She was previously evaluated by 2 gastroenterologists who found no abnormalities on esogastroduodenoscopy and diagnosed her with a functional disorder. Her symptoms progresse...
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Veröffentlicht in: | Neurology 2014-10, Vol.83 (15), p.e141-e144 |
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description | A 50-year-old Chinese woman with hypertension and hyperlipidemia presented with 2 months of progressive intractable vomiting. She was previously evaluated by 2 gastroenterologists who found no abnormalities on esogastroduodenoscopy and diagnosed her with a functional disorder. Her symptoms progressed to dysphagia to solids and liquids as well as spastic dysarthria over the week prior to neurologic evaluation. At that time, her clinical examination revealed a hyperactive gag reflex with tongue fasciculation and a left hypoglossal palsy. She had spastic dysarthria but a normal jaw jerk reflex. |
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subjects | Female Hiccup - complications Hiccup - diagnosis Humans Middle Aged Neuromyelitis Optica - complications Neuromyelitis Optica - diagnosis Vomiting - complications Vomiting - diagnosis |
title | Pearls & Oy-sters: A cause of intractable vomiting |
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