Sintomas gastrointestinais como manifestação de neuromielite óptica: um reporte de caso

Conteúdo do artigo principal

Diego Fernando Abreo Leal
Tatiana Arroyave Peña
Juan Esteban Quiroz Álvarez

Resumo

Se apresenta o caso de uma mulher na quinta década de vida que ingressa ao serviço de urgencias com manifestações gastrointestinais consistentes em vômito e soluço. Depois de múltiplos estudos e intervenções por especialistas, se pensa na origen central dos sintomas. Se realiza uma ressonância magnética nuclear (RMN) cerebral que permite o enfoque do caso e posterior confirmação do diagnóstico de uma doença dentro do espectro da neuromielite óptica, positiva para anticorpos anti-acuaporinas-4. O tratamento com esteroide e anticorpo monoclonal (Rituximab) levam a um controle adequado da doença.

Palavras-chave:
soluço, hipotálamo, neuromielite, vômito

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