Orthostatic hypotension with meningoencephalitis involving the rostral ventrolateral medulla

Young Ik Jung; Mun Kyung Sunwoo; Hee Jin Lee; Jeong Hee Seo; Jeongyeon Kim

doi:10.14253/acn.2019.21.1.66

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Orthostatic hypotension with meningoencephalitis involving the rostral ventrolateral medulla

Young Ik Jung¹

, Mun Kyung Sunwoo¹

, Hee Jin Lee¹

, Jeong Hee Seo¹

, Jeongyeon Kim²

Annals of Clinical Neurophysiology 2019;21(1):66-69.
Published online: January 29, 2019

DOI: https://doi.org/10.14253/acn.2019.21.1.66

¹Department of Neurology, Bundang Jesaeng General Hospital, Seongnam, Korea

²Department of Neurology, Sanggye Paik Hospital, Inje University College of Medcine, Seoul, Korea

Corresponding author: Jeongyeon Kim, Tel: +82-2-950-1090, Fax: +82-2-950-1955,
Email: jykimmd@paik.ac.kr

Received: 21 September 2018 • Revised: 14 December 2018 • Accepted: 21 December 2018

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Abstract

Orthostatic hypotension (OH) is commonly associated with autonomic failure in the peripheral nervous system. Less often it is related to central lesions in brainstem and cerebellum. We describe a patient with OH associated with tuberculosis meningoencephalitis involving the brainstem including rostral ventrolateral medulla. This is the first case of OH resulting from focal lesions in the dorsal medulla in a patient with meningoencephalitis.