Journal
CASE REPORTS IN NEUROLOGY
Volume 6, Issue 1, Pages 68-73Publisher
KARGER
DOI: 10.1159/000361041
Keywords
Baroreflex failure; Hemangioblastoma; Neurogenic pulmonary edema; Medulla oblongata; Solitary tract nucleus; Tako-tsubo cardiomyopathy
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Here, we present a case of dorsal medulla oblongata hemangioblastoma with fourth ventricular hemorrhage. A 23-year-old female developed sudden consciousness disturbance, and CT revealed hemorrhage in all cerebral ventricles and a hyperdense mass in the cisterna magna. Although the reddish tumor located in the dorsal medulla oblongata was successfully removed, she suffered from severe tako-tsubo cardiomyopathy (TTC) and neurogenic pulmonary edema (NPE) because of baroreflex failure and damage to the solitary tract nuclei. After intensive care for 12 weeks following surgery, she was discharged without any neurological or radiological deficits. Pathogenesis of TTC/NPE is discussed in this paper. (C) 2014 S. Karger AG, Basel
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