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Reversible cerebellar dysfunction associated with ciguatera fish poisoning.
J Emerg Med. 2012 Oct; 43(4):674-6.JE

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.

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Authors+Show Affiliations

Oh SY
Department of Neurology, Chonbuk National University Medical School, Jeonju, South Korea.
Kim DH
No affiliation info available
Seo MW
No affiliation info available
Shin BS
No affiliation info available

MeSH

Abdominal PainAdultCerebellar AtaxiaCiguatera PoisoningDiarrheaDiuretics, OsmoticHumansMaleMannitolNystagmus, Pathologic

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22325556

Citation

Oh, Sun-Young, et al. "Reversible Cerebellar Dysfunction Associated With Ciguatera Fish Poisoning." The Journal of Emergency Medicine, vol. 43, no. 4, 2012, pp. 674-6.
Oh SY, Kim DH, Seo MW, et al. Reversible cerebellar dysfunction associated with ciguatera fish poisoning. J Emerg Med. 2012;43(4):674-6.
Oh, S. Y., Kim, D. H., Seo, M. W., & Shin, B. S. (2012). Reversible cerebellar dysfunction associated with ciguatera fish poisoning. The Journal of Emergency Medicine, 43(4), 674-6. https://doi.org/10.1016/j.jemermed.2011.09.030
Oh SY, et al. Reversible Cerebellar Dysfunction Associated With Ciguatera Fish Poisoning. J Emerg Med. 2012;43(4):674-6. PubMed PMID: 22325556.
* Article titles in AMA citation format should be in sentence-case
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://linkinghub.elsevier.com/retrieve/pii/S0736-4679(11)01248-0 DB - PRIME DP - Unbound Medicine ER -