{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:01:15Z","timestamp":1771200075602,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,15]]},"DOI":"10.7759\/cureus.103669","type":"journal-article","created":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T23:10:12Z","timestamp":1771197012000},"source":"Crossref","is-referenced-by-count":0,"title":["Intractable Nausea as the Initial Presentation of Neuromyelitis Optica"],"prefix":"10.7759","author":[{"given":"Shu Jun","family":"Tan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"AGA technical review on nausea and vomiting","volume":"120","author":"Quigley EMM","year":"2001","unstructured":"Quigley EMM, Hasler WL, Parkman HP. AGA technical review on nausea and vomiting. Gastroenterology. 2001, 120:263-86.","journal-title":"Gastroenterology"},{"key":"ref2","article-title":"Adams and Victor\u2019s Principles of Neurology. 11th Edition","author":"Ropper AH","year":"2019","unstructured":"Ropper AH, Samuels MA, Klein J, Prasad S. Adams and Victor\u2019s Principles of Neurology. 11th Edition. McGraw-Hill Education, New York (NY); 2019."},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2015.04.002","article-title":"Medical and nonstroke neurologic causes of acute, continuous vestibular symptoms","volume":"33","author":"Edlow JA","year":"2015","unstructured":"Edlow JA, Newman-Toker DE. Medical and nonstroke neurologic causes of acute, continuous vestibular symptoms. Neurol Clin. 2015, 33:699-716. 10.1016\/j.ncl.2015.04.002","journal-title":"Neurol Clin"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-98945-2_2","article-title":"Autoimmune demyelinating diseases of central nervous system (CNS)","author":"Uher T","year":"2025","unstructured":"Uher T. Autoimmune demyelinating diseases of central nervous system (CNS). Mimics and Red Flags of Multiple Sclerosis. Springer, Cham; 2025. 25-97. 10.1007\/978-3-031-98945-2_2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-70479-6_12","article-title":"A neurologist\u2019s view of nausea and vomiting","author":"Parkes JD","year":"1986","unstructured":"Parkes JD. A neurologist\u2019s view of nausea and vomiting. Nausea and Vomiting: Mechanisms and Treatment. Advances in Applied Neurological Sciences. Davis CJ, Lake-Bakaar GV, Grahame-Smith DG (ed): Springer, Berlin; 1986. 3:160-6. 10.1007\/978-3-642-70479-6_12"},{"key":"ref6","unstructured":"Neuromyelitis optica spectrum disorder (NMOSD). clinical features and diagnosis. (2025). Accessed: January 31, 2026: https:\/\/www.uptodate.com\/contents\/neuromyelitis-optica-spectrum-disorder-nmosd-clinical-features-and-diagnosis."},{"key":"ref7","unstructured":"Neuromyelitis optica. what is it, causes, diagnosis, and more. (2026). Accessed: February 1, 2026: https:\/\/www.osmosis.org\/answers\/neuromyelitis-optica."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/B978-141603618-0.10048-7","article-title":"Demyelinating disorders of the central nervous system","author":"Pirko I","year":"2007","unstructured":"Pirko I, Noseworthy JH. Demyelinating disorders of the central nervous system. Textbook of Clinical Neurology (Third Edition). Goetz CG (ed): WB Saunders, Philadelphia (PA); 2007. 1103-33. 10.1016\/B978-141603618-0.10048-7"},{"key":"ref9","unstructured":"Neuromyelitis Optica spectrum disorder (NMOSD). (2025). Accessed. February 1, 2026: https:\/\/www.msdmanuals.com\/professional\/neurologic-disorders\/demyelinating-disorders\/neuromyelitis-optica-spectrum-di...."},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-023-11634-0","article-title":"Update on the diagnosis and treatment of neuromyelits optica spectrum disorders (NMOSD)-revised recommendations of the Neuromyelitis Optica Study Group (NEMOS). Part I: diagnosis and differential diagnosis","volume":"270","author":"Jarius S","year":"2023","unstructured":"Jarius S, Aktas O, Ayzenberg I, et al.. Update on the diagnosis and treatment of neuromyelits optica spectrum disorders (NMOSD)-revised recommendations of the Neuromyelitis Optica Study Group (NEMOS). Part I: diagnosis and differential diagnosis. J Neurol. 2023, 270:3341-68. 10.1007\/s00415-023-11634-0","journal-title":"J Neurol"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001729","article-title":"International consensus diagnostic criteria for neuromyelitis optica spectrum disorders","volume":"85","author":"Wingerchuk DM","year":"2015","unstructured":"Wingerchuk DM, Banwell B, Bennett JL, et al.. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 2015, 85:177-89. 10.1212\/WNL.0000000000001729","journal-title":"Neurology"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/735486","article-title":"Brain abnormalities in neuromyelitis optica spectrum disorder","volume":"2012","author":"Kim W","year":"2012","unstructured":"Kim W, Kim SH, Huh SY, Kim HJ. Brain abnormalities in neuromyelitis optica spectrum disorder. Mult Scler Int. 2012, 2012:735486. 10.1155\/2012\/735486","journal-title":"Mult Scler Int"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22121","article-title":"Intractable vomiting as the initial presentation of neuromyelitis optica","volume":"68","author":"Apiwattanakul M","year":"2010","unstructured":"Apiwattanakul M, Popescu BF, Matiello M, et al.. Intractable vomiting as the initial presentation of neuromyelitis optica. Ann Neurol. 2010, 68:757-61. 10.1002\/ana.22121","journal-title":"Ann Neurol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000201465","article-title":"Differentiating multiple sclerosis from AQP4-neuromyelitis optica spectrum disorder and MOG-antibody disease with imaging","volume":"100","author":"Cortese R","year":"2023","unstructured":"Cortese R, Prados Carrasco F, Tur C, et al.. Differentiating multiple sclerosis from AQP4-neuromyelitis optica spectrum disorder and MOG-antibody disease with imaging. Neurology. 2023, 100:e308-23. 10.1212\/WNL.0000000000201465","journal-title":"Neurology"},{"key":"ref15","unstructured":"Wernicke encephalopathy. (2024). Accessed. February 8, 2026: https:\/\/www.uptodate.com\/contents\/wernicke-encephalopathy?search=wernicke%20encephalopathy&source=search_result&selec...."},{"key":"ref16","article-title":"Wernicke Encephalopathy","author":"Vasan S","year":"2025","unstructured":"Vasan S, Kumar A.. Wernicke Encephalopathy. StatPearls Publishing, Treasure Island (FL); 2025."},{"key":"ref17","doi-asserted-by":"crossref","DOI":"10.1016\/S1474-4422(20)30392-6","article-title":"New therapies for neuromyelitis optica spectrum disorder","volume":"20","author":"Levy M","year":"2021","unstructured":"Levy M, Fujihara K, Palace J. New therapies for neuromyelitis optica spectrum disorder. Lancet Neurol. 2021, 20:60-7.","journal-title":"Lancet Neurol"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/464314-intractable-nausea-as-the-initial-presentation-of-neuromyelitis-optica","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T23:10:15Z","timestamp":1771197015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/464314-intractable-nausea-as-the-initial-presentation-of-neuromyelitis-optica"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,15]]},"references-count":17,"URL":"https:\/\/doi.org\/10.7759\/cureus.103669","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,15]]}}}