Cyclic Vomiting

We have all had the experience of arriving late at a diagnosis that may have been revealed earlier if we had been more alert. Not only do Rosman and colleagues describe an interesting case with an extended diagnostic saga, a lesson in itself, but there are also other lessons to be learned here. Contained in the report is a very useful discussion of the migraine equivalent conditions. This alone would be reason enough to include the case in this issue, but there is also a caveat to the clinician to rethink the diagnostic evaluation when the patient does not follow the expected course during the medical management of the problem. This rethinking the problem should be a part of our process in all patients who have a diagnosis based solely on descriptive criteria.
Source: Seminars in Pediatric Neurology - Category: Neurology Authors: Source Type: research