Area postrema syndrome caused by medullary infarction.
area postrema syndrome • ischemic stroke • Wallenberg syndrome • medulla
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
17
05
2022
revised:
08
06
2022
accepted:
30
06
2022
pubmed:
2
8
2022
medline:
25
8
2022
entrez:
1
8
2022
Statut:
ppublish
Résumé
In the present study, we report a case of persistent intractable nausea and vomiting after a medullary infarction. Area postrema syndrome due to ischemic stroke is very rare. In this case, brain magnetic resonance imaging revealed an ischemic lesion in the lateral medulla extending caudally and dorsomedially. The patient presented with sustained nausea, vomiting, and poor oral intake over one month after the index stroke, even after resolution of dizziness and disappearance of nystagmus. She did not respond to intravenous metoclopramide with ondansetron. However, their intractable nausea and vomiting eventually resolved with concomitant use of domperidone and itopride orally in addition to intravenous metoclopramide with ondansetron.
Identifiants
pubmed: 35914512
pii: S1052-3057(22)00327-5
doi: 10.1016/j.jstrokecerebrovasdis.2022.106633
pii:
doi:
Substances chimiques
Ondansetron
4AF302ESOS
Metoclopramide
L4YEB44I46
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
106633Informations de copyright
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