Abstract
The authors present a 14-year-old girl with 18q- syndrome combined with cyclic vomiting syndrome. Since the age of 5 years, she has been admitted to hospital 30 times. Despite trying many prophylactic treatments, no medication has inhibited the vomiting attacks successfully. Intranasal sumatriptan was effective at halting the vomiting attacks. This is the first case of 18q- syndrome combined with cyclic vomiting syndrome successfully treated with sumatriptan. This report may allow us to consider sumatriptan use in patients suffering from misery attack of cyclic vomiting syndrome combined with chromosomal abnormality of 18q- syndrome.
MeSH terms
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Administration, Intranasal
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Adolescent
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Adrenal Cortex / metabolism
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Adrenal Cortex / physiopathology
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Brain / drug effects
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Brain / physiopathology
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Chromosome Disorders / complications*
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Chromosome Disorders / genetics
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Chromosome Disorders / physiopathology
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Chromosomes, Human, Pair 18 / genetics
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Female
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Genetic Predisposition to Disease / genetics
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Humans
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Intellectual Disability / complications
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Intellectual Disability / genetics
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Intellectual Disability / physiopathology
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Nervous System Malformations / complications*
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Nervous System Malformations / genetics
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Nervous System Malformations / physiopathology
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Serotonin Receptor Agonists / administration & dosage*
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Sumatriptan / administration & dosage*
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Syndrome
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Treatment Outcome
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Vomiting / drug therapy*
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Vomiting / genetics
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Vomiting / physiopathology
Substances
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Serotonin Receptor Agonists
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Sumatriptan