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Ann Clin Neurophysiol. 2019; 21(1): 66-69.
Published online January 29, 2019.
doi: https://doi.org/10.14253/acn.2019.21.1.66
Orthostatic hypotension with meningoencephalitis involving the rostral ventrolateral medulla
Young Ik Jung1  , Mun Kyung Sunwoo1  , Hee Jin Lee1  , Jeong Hee Seo1  , and Jeongyeon Kim2 
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 September 21, 2018   Revised: December 14, 2018    Accepted December 21, 2018
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.
Key words: Orthostatic hypotension; Rostral ventrolateral medulla; Meningoencephalitis
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