Episodic syndromes that may be associated with migraine / 中风与神经疾病杂志

Episodic syndromes that may be associated with migraine@#Episodic syndromes that may be associated with migraine are commonly seen in children and are likely to evolve into migraine in the subsequent course of the disease， including several subtypes such as benign paroxysmal torticollis， benign paroxysmal vertigo， and recurrent gastrointestinal disturbance. Understanding the above syndromes has an important clinical significance in the diagnosis of migraine in children.

RECURRENT SEVERE VOMITING IN A 7-YEAR-OLD BOY

This case study is a reminder that recurrent severe vomiting requires admission for correction of fluid and electrolyte derangement, and a diagnostic work-up. It also highlights the need for a high level of clinical suspicion and good history taking in the diagnosis of cyclical vomiting syndrome. A definitive diagnosis is important to prepare the patient and family for future management as cyclical vomiting syndrome is a chronic episodic condition.

Recurrent Severe Vomiting in a 7-year-old boy

@#This case study is a reminder that recurrent severe vomiting requires admission for correction of fluid and electrolyte derangement, and a diagnostic work-up. It also highlights the need for a high level of clinical suspicion and good history taking in the diagnosis of cyclical vomiting syndrome. A definitive diagnosis is important to prepare the patient and family for future management as cyclical vomiting syndrome is a chronic episodic condition.

A Case of Visceral Autonomic Neuropathy Complicated by Guillain-Barre Syndrome Accompanied with Cyclic Vomiting Syndrome-like Disorder in a Child / 대한소아소화기영양학회지

We present a case of an 8-year-old boy with visceral autonomic neuropathy complicated by Guillain-Barre syndrome. In this pediatric patient, gastroparesis was the major symptom among the autonomic symptoms. Due to the gastroparesis, there was no progress with the oral diet, and nutrition was therefore supplied through a nasojejunal tube and gastrojejunal tube via Percutaneous endoscopic gastrostomy (PEG). After tube feeding for 9 months, the patient's gastrointestinal symptoms improved and his oral ingestion increased. The pediatric patient was maintained well without gastrointestinal symptoms for 3 months after removal of the PEG, had repeated vomiting episodes which lead to the suspicion of cyclic vomiting syndrome. Then he started treatment with low-dose amitriptyline, which resulted in improvement. Currently, the patient has been maintained well for 6 months without recurrence, and his present growth status is normal.

Psycho pharmacologic approach for chronic cylical vomiting syndrome: a case report

In this case report, a middle aged lady presenting with persistent vomiting of 12 years duration, not responding to conventional management and showing dramatic response to combinations of low dose Imipramine and Trifluperazine is discussed. Method: In our case, a middle aged lady presenting with chronic, recurrent episodes of severe vomiting for approximately 12 years with poor treatment outcome was evaluated and treated with low dose imipramine and Trifluperazine, which was found to be highly effective. Results: Low dose Trifluperazine and imipramine is effective in the treatment of cyclic vomiting syndrome. Conclusion: Cyclic Vomiting Syndrome is often missed and appropriate psychiatric intervention gives a better outcome.

Cyclical Vomiting Syndrome with Bilateral Epileptiform Discharges.

Cyclical vomiting syndrome is a paroxysmal, condition characterized by recurrent severe episodes of vomiting lasting for hours to days, with variable intervals of normal health in between with no apparent cause of the vomiting. We hereby report a 10yr old girl with cyclical vomiting syndrome with multiple, bisynchronous occipitally predominant, bilateral epileptiform discharges representing a diagnostic confusion.