Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report

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 loca...

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Autores principales: Gekka, Masayuki, Yamaguchi, Shigeru, Kazumata, Ken, Kobayashi, Hiroyuki, Motegi, Hiroaki, Terasaka, Shunsuke, Houkin, Kiyohiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Published online: March, 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000297/
https://www.ncbi.nlm.nih.gov/pubmed/24803905
http://dx.doi.org/10.1159/000361041
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author Gekka, Masayuki
Yamaguchi, Shigeru
Kazumata, Ken
Kobayashi, Hiroyuki
Motegi, Hiroaki
Terasaka, Shunsuke
Houkin, Kiyohiro
author_facet Gekka, Masayuki
Yamaguchi, Shigeru
Kazumata, Ken
Kobayashi, Hiroyuki
Motegi, Hiroaki
Terasaka, Shunsuke
Houkin, Kiyohiro
author_sort Gekka, Masayuki
collection PubMed
description 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.
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spelling pubmed-40002972014-05-06 Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report Gekka, Masayuki Yamaguchi, Shigeru Kazumata, Ken Kobayashi, Hiroyuki Motegi, Hiroaki Terasaka, Shunsuke Houkin, Kiyohiro Case Rep Neurol Published online: March, 2014 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. S. Karger AG 2014-03-19 /pmc/articles/PMC4000297/ /pubmed/24803905 http://dx.doi.org/10.1159/000361041 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: March, 2014
Gekka, Masayuki
Yamaguchi, Shigeru
Kazumata, Ken
Kobayashi, Hiroyuki
Motegi, Hiroaki
Terasaka, Shunsuke
Houkin, Kiyohiro
Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title_full Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title_fullStr Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title_full_unstemmed Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title_short Hemorrhagic Onset of Hemangioblastoma Located in the Dorsal Medulla Oblongata Presenting with Tako-Tsubo Cardiomyopathy and Neurogenic Pulmonary Edema: A Case Report
title_sort hemorrhagic onset of hemangioblastoma located in the dorsal medulla oblongata presenting with tako-tsubo cardiomyopathy and neurogenic pulmonary edema: a case report
topic Published online: March, 2014
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000297/
https://www.ncbi.nlm.nih.gov/pubmed/24803905
http://dx.doi.org/10.1159/000361041
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