Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
권호 표지
DOI QR코드

DOI QR Code

Orthostatic hypotension with meningoencephalitis involving the rostral ventrolateral medulla

  • Young, Ik-Jung (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Sunwoo, Mun Kyung (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Lee, Hee Jin (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Seo, Jeong Hee (Department of Neurology, Bundang Jesaeng General Hospital) ;
  • Kim, Jeongyeon (Department of Neurology, Sanggye Paik Hospital, Inje University College of Medcine)
  • Received : 2018.09.21
  • Accepted : 2018.12.21
  • Published : 2019.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Orthostatic hypotension (OH) is commonly associated with autonomic failure in the peripheral nervous system. Less often it is related to central lesions in brainstem and cerebellum. We describe a patient with OH associated with tuberculosis meningoencephalitis involving the brainstem including rostral ventrolateral medulla. This is the first case of OH resulting from focal lesions in the dorsal medulla in a patient with meningoencephalitis.

Keywords

References

  1. Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res 2011;21:69-72. https://doi.org/10.1007/s10286-011-0119-5
  2. Low PA, Tomalia VA. Orthostatic hypotension: mechanisms, causes, management. J Clin Neurol 2015;11:220-226. https://doi.org/10.3988/jcn.2015.11.3.220
  3. Telerman-Toppet N, Vanderhaeghen JJ, Warszawski M. Orthostatic hypotension with lower brain stem glioma. J Neurol Neurosurg Psychiatry 1982;45:1147-1150. https://doi.org/10.1136/jnnp.45.12.1147
  4. Derrey S, Maltete D, Ahtoy P, Fregey P, Proust F. Severe orthostatic hypotension and intramedullary tumor: a case report and review of the literature. Neurochirurgie 2009;55:589-594. https://doi.org/10.1016/j.neuchi.2009.05.002
  5. Hocker S, Hoover JM, Puffer RC, Meyer FB. Orthostatic hypotension following resection of a dorsal medullary hemangioblastoma. Neurocrit Care 2012;16:306-310. https://doi.org/10.1007/s12028-011-9656-y
  6. Idiaquez J, Araya P, Benarroch E. Orthostatic hypotension associated with dorsal medullary cavernous angioma. Acta Neurol Scand 2009;119:45-48. https://doi.org/10.1111/j.1600-0404.2008.01050.x
  7. Ikumi K, Ando T, Asahina M. A case of neuromyelitis optica spectrum disorder presenting with severe orthostatic hypotension. Rinsho Shinkeigaku 2015;55:759-762. https://doi.org/10.5692/clinicalneurol.cn-000702
  8. Kim HA, Lee H. Orthostatic hypotension in acute cerebellar infarction. J Neurol 2016;263:120-126. https://doi.org/10.1007/s00415-015-7945-7
  9. Dormer KJ, Anwar M, Ashlock SR, Ruggiero DA. Organization of presumptive catecholamine-synthesizing neurons in the canine medulla oblongata. Brain Res 1993;601:41-64. https://doi.org/10.1016/0006-8993(93)91694-N
  10. Arango V, Ruggiero DA, Callaway JL, Anwar M, Mann JJ, Reis DJ. Catecholaminergic neurons in the ventrolateral medulla and nucleus of the solitary tract in the human. J Comp Neurol 1988;273:224-240. https://doi.org/10.1002/cne.902730207