Document Detail


Transient orthostatic hypertension after partial cerebellar resection.
MedLine Citation:
PMID:  20845056     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
An effective baroreflex and autonomic pathways normally ensure that blood pressure (BP) is satisfactorily maintained, despite various stimuli in daily life that include postural changes. We describe a 20-year-old man with a cerebellar hematoma and acute hydrocephalus, who had a vermian and partial right cerebellar hemisphere resection followed by orthostatic hypertension (OHT) and mutism. On standing his systolic BP rose over 60 mmHg with a fivefold increase in plasma noradrenaline. After a period of 8 weeks, postural BP regulation improved along with his ability to communicate. We conclude that transient impairment of cerebellar autonomic modulation or dysfunction of the baroreflex medullary circuit, may have resulted in OHT.
Authors:
Juan Idiaquez; Ricardo Fadic; Christopher J Mathias
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Publication Detail:
Type:  Journal Article     Date:  2010-09-16
Journal Detail:
Title:  Clinical autonomic research : official journal of the Clinical Autonomic Research Society     Volume:  21     ISSN:  1619-1560     ISO Abbreviation:  Clin. Auton. Res.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106549     Medline TA:  Clin Auton Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  57-9     Citation Subset:  IM    
Affiliation:
Universidad de Valparaíso, 4 norte 1093 depto 22 Viña del Mar, Valparaíso, Chile, idiaquez@123.cl.
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