Narcolepsy Followed by Intractable Vomiting Caused by Recurrent Brain Involvement in Neuromyelitis Optica Spectrum Disorder.
- Author:
Young Eun PARK
1
;
Ji Young JANG
;
Yoon Jung KANG
Author Information
- Publication Type:Case Report
- Keywords: Neuromyelitis optica spectrum disorder; Hypersomnia; Vomiting
- MeSH: Area Postrema; Brain*; Disorders of Excessive Somnolence; Female; Humans; Magnetic Resonance Imaging; Narcolepsy*; Nausea; Neuromyelitis Optica*; Vomiting*
- From:Journal of the Korean Neurological Association 2017;35(4):215-218
- CountryRepublic of Korea
- Language:Korean
- Abstract: We report a 26 year-old female who initially presented with hypersomnia and visual disturbance with preceding upper respiratory infection. She was diagnosed as neuromyelitis optica spectrum disorder (NMOSD) with the presence of anti-AQP4 antibody. Eight months later, she experienced nausea and vomiting refractory to conventional therapies, which was proved correlated with a lesion of area postrema on brain magnetic resonance imaging. These might be significant clinical manifestations in NMOSD and may widen the clinical spectrum of the disease.