| Mechanisms of disease/hypothesis: neurogenic left ventricular dysfunction and neurogenic pulmonary oedema. | |
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MedLine Citation:
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PMID: 19652941 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Acute onset of cardiovascular dysfunction may be the result of insults to the central nervous and autonomic system. Several cerebral regions (insular cortex, lateral, hypothalamus, and brain stem) have been identified as part of the "central autonomic network". The brain stem plays an integral role in controlling and mediating autonomic tone. PATIENT AND METHODS: Case reports. RESULTS: These two case reports demonstrate the intimate connectivity between the cardiovascular/pulmonary system and the central nervous system in a 13-year-old girl with occipital angiomatosis, but no history of heart disease who developed profound left ventricular dysfunction and pulmonary oedema following pontine haemorrhage, and in a 5-year-old girl who developed severe pulmonary oedema after suffering from status epilepticus. CONCLUSIONS: The two case reports suggest that cardiovascular dysfunction secondary to central nervous insults and neurogenic pulmonary oedema are not two separate clinical entities, but may very well encompass two different presentations of central autonomic disturbances. |
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Authors:
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Sascha Meyer; Angelika Lindinger; G?nther L?ffler; Hans-Gerhard Limbach; Mohammed G Shamdeen; Sven Gottschling; Wolfgang Reith; Ludwig Gortner |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Wiener medizinische Wochenschrift (1946) Volume: 159 ISSN: 1563-258X ISO Abbreviation: Wien Med Wochenschr Publication Date: 2009 |
Date Detail:
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Created Date: 2009-08-04 Completed Date: 2009-11-16 Revised Date: 2010-04-05 |
Medline Journal Info:
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Nlm Unique ID: 8708475 Medline TA: Wien Med Wochenschr Country: Austria |
Other Details:
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Languages: eng Pagination: 342-5 Citation Subset: IM |
Affiliation:
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Department of Paediatric Intensive Care Medicine and Neonatology, University Hospital of Saarland, Homburg, Germany. sascha.meyer@uniklinik-saarland.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Autonomic Nervous System / physiopathology* Brain / physiopathology* Brain Stem / blood supply, physiopathology Cardiac Output, Low / physiopathology, therapy Cerebral Angiography Child, Preschool Echocardiography Female Heart / innervation Humans Intracranial Arteriovenous Malformations / physiopathology Intracranial Hemorrhages / physiopathology, therapy Magnetic Resonance Imaging Nerve Net Occipital Lobe / blood supply, physiopathology Pulmonary Edema / physiopathology*, therapy Status Epilepticus / physiopathology, therapy Ventricular Dysfunction, Left / physiopathology*, therapy |
| Comments/Corrections | |
Comment In:
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Wien Med Wochenschr. 2010 Mar;160(5-6):152-4
[PMID:
20364419
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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