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["Cyclic vomiting" in childhood and adolescence]
N Barth1, M Riegels, J Hebebrand
1Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Philipps-Universität Marburg.
Summary
Cyclical vomiting syndrome involves recurrent, severe vomiting in children, often linked to infantile migraine. This condition requires careful diagnosis to distinguish it from psychogenic vomiting.
Area of Science:
- Pediatrics
- Neurology
- Gastroenterology
Background:
- Cyclical vomiting syndrome (CVS) is a disorder characterized by recurrent episodes of intense vomiting.
- It primarily affects children and is often associated with a history of migraines.
Observation:
- A case study of a 5 1/2-year-old child with CVS highlights the core symptoms: cyclic, difficult-to-influence vomiting during periods of well-being.
- The clinical presentation, differential diagnoses, and therapeutic strategies for CVS in children are examined.
Findings:
- CVS shares a close etiological relationship with infantile migraine, suggesting a potential shared underlying mechanism.
- The diagnosis of psychogenic vomiting is critically reviewed, as it is often misapplied to conditions resembling CVS in Germany.
Implications:
- Accurate diagnosis of CVS is crucial for appropriate management and to avoid misdiagnosis, such as attributing symptoms to psychogenic vomiting.
- Understanding the link between CVS and infantile migraine may lead to improved diagnostic and therapeutic approaches for pediatric patients.