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KMID : 0359720170350040215
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Journal of the Korean Neurological Association
2017 Volume.35 No. 4 p.215 ~ p.218
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Narcolepsy Followed by Intractable Vomiting Caused by Recurrent Brain Involvement in Neuromyelitis Optica Spectrum Disorder
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Park Yeong-Eun
Jang Ji-Yeong
Kang Yoon-Jung
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Abstract
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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.
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KEYWORD
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Neuromyelitis optica spectrum disorder, Hypersomnia, Vomiting
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