Orthostatic hypotension associated with an epidermoid tumor of the IV ventricle
We report the case of a 32-year-old man with an epidermoid tumor of the fourth ventricle. About 14 years later, he showed a tumor recurrence which was removed. After this procedure the patient complained of presyncopal and syncopal crisis while attempting to stand or walk. On examination, severe ort...
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| Veröffentlicht in: | Journal of neurology 2009-08, Vol.256 (8), p.1357-1359 |
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| creator | Gómez-Esteban, Juan Carlos Berganzo, Koldo Tijero, Beatriz Barcena, Joseba Zarranz, Juan J. |
| description | We report the case of a 32-year-old man with an epidermoid tumor of the fourth ventricle. About 14 years later, he showed a tumor recurrence which was removed. After this procedure the patient complained of presyncopal and syncopal crisis while attempting to stand or walk. On examination, severe orthostatic hypotension was confirmed and autonomic tests were abnormal. The brain MRI showed a tetraventricular hydrocephalus predominating in the fourth ventricle. A ventriculo-peritoneal shunt was performed, and after surgery the orthostatic intolerance improved. We believe that hydrocephalus has probably been a contributory factor to orthostatic hypotension, and suggest expanding testing for dysautonomia in patients with hydrocephalus. |
| doi_str_mv | 10.1007/s00415-009-5102-x |
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About 14 years later, he showed a tumor recurrence which was removed. After this procedure the patient complained of presyncopal and syncopal crisis while attempting to stand or walk. On examination, severe orthostatic hypotension was confirmed and autonomic tests were abnormal. The brain MRI showed a tetraventricular hydrocephalus predominating in the fourth ventricle. A ventriculo-peritoneal shunt was performed, and after surgery the orthostatic intolerance improved. We believe that hydrocephalus has probably been a contributory factor to orthostatic hypotension, and suggest expanding testing for dysautonomia in patients with hydrocephalus.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-009-5102-x</identifier><identifier>PMID: 19353231</identifier><language>eng</language><publisher>Heidelberg: D. 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We believe that hydrocephalus has probably been a contributory factor to orthostatic hypotension, and suggest expanding testing for dysautonomia in patients with hydrocephalus.</description><subject>Adult</subject><subject>Autonomic Pathways - physiopathology</subject><subject>Baroreflex - physiology</subject><subject>Blood Pressure - physiology</subject><subject>Brain Stem - physiopathology</subject><subject>Carcinoma, Squamous Cell - complications</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cerebral Ventricle Neoplasms - complications</subject><subject>Cerebral Ventricle Neoplasms - pathology</subject><subject>Cerebral Ventricle Neoplasms - surgery</subject><subject>Fourth Ventricle - pathology</subject><subject>Fourth Ventricle - physiopathology</subject><subject>Humans</subject><subject>Hydrocephalus - complications</subject><subject>Hydrocephalus - diagnosis</subject><subject>Hydrocephalus - physiopathology</subject><subject>Letter to the Editors</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasm Recurrence, Local - complications</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgical Procedures</subject><subject>Shy-Drager Syndrome - diagnosis</subject><subject>Shy-Drager Syndrome - etiology</subject><subject>Shy-Drager Syndrome - physiopathology</subject><subject>Treatment Outcome</subject><subject>Ventriculoperitoneal Shunt</subject><subject>Ventriculostomy</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEQhoMoWqs_wIsED95WJ5tkd3MU8QuEXtRrSGezNqW7qUlW23_vlhYKgqc5zPO-MzyEXDC4YQDlbQQQTGYAKpMM8mx1QEZM8DxjQqpDMgIuIJNcihNyGuMcAKphcUxOmOKS55yNyGQS0szHZJJDOlsvfbJddL6jJkaPziRb0x-XZtR01C5dbUPrXU1T3_pAfUPTzNKXD_ptuxQcLuwZOWrMItrz3RyT98eHt_vn7HXy9HJ_95ohL1TKJPJSlqZiAlAUokTFCxQNz4sGVVGhYYhooJlyO0VsalXkRhlZl01lkaPkY3K97V0G_9XbmHTrItrFwnTW91HnUKiq4uUAXv0B574P3fCbztnmvhJqgNgWwuBjDLbRy-BaE9aagd6o1lvVelCtN6r1ashc7or7aWvrfWLndgDyLRCHVfdpw_7y_62_kSiKrw</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Gómez-Esteban, Juan Carlos</creator><creator>Berganzo, Koldo</creator><creator>Tijero, Beatriz</creator><creator>Barcena, Joseba</creator><creator>Zarranz, Juan J.</creator><general>D. 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| subjects | Adult Autonomic Pathways - physiopathology Baroreflex - physiology Blood Pressure - physiology Brain Stem - physiopathology Carcinoma, Squamous Cell - complications Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Cerebral Ventricle Neoplasms - complications Cerebral Ventricle Neoplasms - pathology Cerebral Ventricle Neoplasms - surgery Fourth Ventricle - pathology Fourth Ventricle - physiopathology Humans Hydrocephalus - complications Hydrocephalus - diagnosis Hydrocephalus - physiopathology Letter to the Editors Magnetic Resonance Imaging Male Medicine Medicine & Public Health Neoplasm Recurrence, Local - complications Neoplasm Recurrence, Local - pathology Neoplasm Recurrence, Local - surgery Neurologic Examination Neurology Neuroradiology Neurosciences Neurosurgical Procedures Shy-Drager Syndrome - diagnosis Shy-Drager Syndrome - etiology Shy-Drager Syndrome - physiopathology Treatment Outcome Ventriculoperitoneal Shunt Ventriculostomy |
| title | Orthostatic hypotension associated with an epidermoid tumor of the IV ventricle |
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