An occult cause of persistent nausea and vomiting

• Published in: The Journal of emergency medicine Vol. 15; no. 5; pp. 633 - 635
• Main Authors: Lamont, Elizabeth Bernier, Sayah, Assaad
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.09.1997; Elsevier
• Subjects: Adult; Biological and medical sciences; Brain Diseases - complications; Brain Diseases - diagnosis; brainstem imaging; Cerebral Ventricles - pathology; Cysticercosis; Cysticercosis - complications; Cysticercosis - diagnosis; Diagnosis, Differential; Diseases caused by cestodes; Female; Helminthic diseases; Humans; Infectious diseases; Magnetic Resonance Imaging; Medical sciences; MRI; nausea; Nausea - parasitology; neurocysticercosis; Parasitic diseases; Tomography, X-Ray Computed; vomiting; Vomiting - parasitology; MRI; brainstem imaging; neurocysticercosis; nausea; vomiting; Human; Nervous system diseases; Cysticercosis; Brain stem; Nausea; Parasitosis; Helminthiasis; Nuclear magnetic resonance imaging; Cestode disease; Cerebral disorder; Infection; Case study; Etiology; Intermittent; Vomiting; Central nervous system disease; Young adult; Digestive diseases; Complication; Medical imagery; Female; Diagnosis; Brain (vertebrata)
• ISSN: 0736-4679; 2352-5029
• 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.