Journal of Pediatrics Review
Journal of Pediatrics Review
J. Pediatr. Rev
Medical Sciences
http://jpr.mazums.ac.ir
1
admin
2322-4398
2322-4401
10.32598
en
jalali
1399
10
1
gregorian
2021
1
1
9
1
online
1
fulltext
en
Management of Resistant Cyclic Vomiting Syndrome With a New Empiric Treatment in the Prophylaxis Period: A Case Report and Review of Literature
Pediatric Gastroenterology
Case Report and Review of Literature
Case Report and Review of Literature
<strong>Introduction</strong>: Cyclic Vomiting Syndrome (CVS) is an idiopathic disorder, identified by recurrent stereotypic episodes of severe nausea and vomiting and intervals of normal health between episodes. There is no specific diagnostic test for CVS, and clinical features are relied on for diagnosis. Many medications have been used to treat CVS, such as antiemetic, anti-migraine, and sedative medications. Nevertheless, treatment is difficult in some resistant cases.<br>
<strong>Case Presentation</strong>: We report a child with frequent and intensive vomiting episodes after an asymptomatic 2-year period. The patient was unresponsive to many medications but was successfully treated with chlorpromazine and then controlled using olanzapine, followed by aripiprazole. We also performed a brief literature review related to this case report in international databases.<br>
<strong>Conclusions</strong>: Since CVS management has remained challenging to the clinician in the severe and resistant patients, the empiric treatment of CVS is recommended.
Cyclic vomiting syndrome, Treatment, Olanzapine, Aripiprazole
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http://jpr.mazums.ac.ir/browse.php?a_code=A-10-344-2&slc_lang=en&sid=1
Sanaz
Mehrabani
mehrabanisanaz@gmail.com
10031947532846006305
10031947532846006305
Yes
Non-communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Leila
Moslemi
10031947532846006306
10031947532846006306
No
Health Reproductive Research Center, Sari Branch, Islamic Azad University, Sari, Iran.