A case of a cyclic vomiting syndrome in a patient with structural abnormalities of her cerebral venous system
https://doi.org/10.24884/1607-4181-2024-31-4-77-82
Abstract
Cyclic vomiting syndrome is considered to be a chronic functional disorder, the etiology and pathogenesis of which is currently not well understood, and which is characterized by recurrent attacks of intense nausea and vomiting, and sometimes accompanied by abdominal pain, headaches or migraine. This article is the first to demonstrate a case of a cyclic vomiting syndrome in an adult patient with typical vomiting attacks and revealed during the examination dysfunction of the cerebral venous drainage due to a variant of the cerebral venous system development. Neurovisualization showed the signs of the left jugular vein, left transverse and sigmoid sinuses hypoplasia, as well as an asymptomatic neurovascular conflict at the level of right IXth and Xth cranial nerves.
About the Authors
N. V. Shuleshova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Shuleshova Nataliya V., Dr. of Sci. (Med.), Professor, Professor of the Department of Neurology
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
Authors declare no conflict of interest
N. I. Panchenko
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Panchenko Nikita I., Postgraduate Student of the Department of Neurology
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
Authors declare no conflict of interest
References
1. Abu-Arafeh I., Russell G. Cyclical vomiting syndrome in children: a population based study // JPGN. 1995;21(4):454–458.
2. Kvashnina L. V. Acetonemic syndrome and neuro-arthritic anomaly of the constitution in children: modern methods of correction // Modern Pediatrics. 2016;8(80):49‒54. (In Russ.).
3. Li B. U. K., Murray R., Heitlinger L. et al. Is cyclic vomiting related to migraine? // J Pediatr. 1999;134(5):567–572.
4. Fitzpatrick E., Bourke B. et al. The incidence of cvs in children: population-based study // Am J Gastroenterol. 2007;103(4):991–995.
5. Boles R. G., Adams K., Ito M., Li B. U. Maternal inheritance in cyclic vomiting syndrome with neuromuscular disease // Am J Med Genet. 2003;120:474‒482.
6. Li B. U., Misiewicz L. Cyclic vomiting syndrome: a brain-gut disorder. Gastroenterol // Clin North Am. 2003;32:997‒1019.
7. Syndrome of nausea and vomiting // Emergency medicine. 2012;44:5. (In Russ.).
8. Burov N. E. Nausea and vomiting in clinical practice (etiology, pathogenesis, prevention and treatment) // Russian medical journal. 2002;(8–9):390–395. (In Russ.).
9. Zagorenko Yu. A. Emetic syndrome: do we all know about it? News of medicine and pharmacy // Gastroenterology. 2008;(20):29–40. (In Russ.).
10. Li B U. K., Lefevre F., Chelimsky G. G. et al. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Consensus Statement on the Diagnosis and Management of Cyclic Vomiting Syndrome // Journal of Pediatric Gastroenterology and Nutrition. 2008;47:379–393.
11. Yang H. R. Recent Concepts on cyclic vomiting syndrome in children // J NeurogastroenterolMotil. 2020; 16(2):139–147.
12. Benninga M. A., Faure C., Hyman P. E. et al. Childhood functional gastrointestinal disorders: neonate/toddler // Gastroenterology. 2016;(150):1443–1455.
13. Chow S., Goldman R. D. Treating children’s cyclic vomiting // Can Fam Physician. 2007;53(3):417‒419.
14. Forbes D., Fairbrother S. Cyclic nausea and vomiting in childhood // AustFam Physician. 2008;37(1‒2):33‒36.
15. Talbert D.G. Cyclic vomiting syndrome: contribution to dysphagic infant death // Med Hypotheses. 2009;73(4):473‒8. https://doi.org/10.1016/j.mehy.2009.06.011.
16. Kravitz P. The clinical picture of “cough purpura,” benign and non-thrombocytopenic eruption // Va Med. 1979;106(5):373‒4. PMID: 463253.
17. Dashyan V. G., Nikitin A. S. Neurovascular conflicts of the posterior cranial fossa. Journal of Neurology and Psychiatry // S. S. Korsakov. 2017;117(2):155‒162. (In Russ.). https://doi.org/10.17116/jnevro201711721155-162.
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For citations:
Shuleshova N.V., Panchenko N.I. A case of a cyclic vomiting syndrome in a patient with structural abnormalities of her cerebral venous system. The Scientific Notes of the Pavlov University. 2024;31(4):77-82. (In Russ.) https://doi.org/10.24884/1607-4181-2024-31-4-77-82
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