Abstract
BACKGROUND
Ciguatera-fish poisoning (or ciguatera) is a common but underdiagnosed food-borne illness related to fish consumption that is characterized by nausea, vomiting and neurologic symptoms such as tingling in the fingers or toes.
OBJECTIVE
We describe the case of a young man who suffered from diarrhea and abdominal pain after eating raw fish and who also developed severe ataxia with spontaneous downbeat and perverted head-shaking nystagmus.
CASE REPORT
The patient experienced visual fixation suppression failure during the bithermal caloric test and bilateral smooth-pursuit impairment. Oculomotor findings suggested dysfunction of the vestibulocerebellum, especially the flocculus.
CONCLUSION
These findings suggest that both the peripheral and the central nervous systems can be involved in ciguatera.
TY - JOUR
T1 - Reversible cerebellar dysfunction associated with ciguatera fish poisoning.
AU - Oh,Sun-Young,
AU - Kim,Do-Hyung,
AU - Seo,Man-Wook,
AU - Shin,Byoung-Soo,
Y1 - 2012/02/09/
PY - 2011/02/08/received
PY - 2011/05/21/revised
PY - 2011/09/28/accepted
PY - 2012/2/14/entrez
PY - 2012/2/14/pubmed
PY - 2013/4/16/medline
SP - 674
EP - 6
JF - The Journal of emergency medicine
JO - J Emerg Med
VL - 43
IS - 4
N2 - BACKGROUND: Ciguatera-fish poisoning (or ciguatera) is a common but underdiagnosed food-borne illness related to fish consumption that is characterized by nausea, vomiting and neurologic symptoms such as tingling in the fingers or toes. OBJECTIVE: We describe the case of a young man who suffered from diarrhea and abdominal pain after eating raw fish and who also developed severe ataxia with spontaneous downbeat and perverted head-shaking nystagmus. CASE REPORT: The patient experienced visual fixation suppression failure during the bithermal caloric test and bilateral smooth-pursuit impairment. Oculomotor findings suggested dysfunction of the vestibulocerebellum, especially the flocculus. CONCLUSION: These findings suggest that both the peripheral and the central nervous systems can be involved in ciguatera.
SN - 0736-4679
UR - https://www.unboundmedicine.com/medline/citation/22325556/Reversible_cerebellar_dysfunction_associated_with_ciguatera_fish_poisoning_
L2 - https://www.clinicalkey.com/content/playBy/pii?v=S0736-4679(11)01248-0
DB - PRIME
DP - Unbound Medicine
ER -