Episodic central neurogenic hyperventilation in an awake child with systemic histiocytosis.
A 3 year old boy with systemic histiocytosis, diabetes insipidus and a lytic parietal bone lesion experienced episodes of central neurogenic hyperventilation 3 weeks after radiation to the head but was conscious and alert at presentation. At admission, the PaO2 was 133 mmHg, PaCO2 was 8 mmHg and pH 7.65. Magnetic resonance imaging revealed a pontomedullary lesion that resolved during the ensuring year. Central neurogenic hyperventilation has not been described previously as a complication of systemic histiocytosis.
Hool
G J
GJ
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
Marsh
H M
HM
Groover
R V
RV
Burgert
E O
EO
Simmons
P S
PS
Reese
D F
DF
D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis; D002675:Child, Preschool; D003919:Diabetes Insipidus / Q000150:complications; D006646:Histiocytosis, Langerhans-Cell / Q000150:complications*; D006801:Humans; D006985:Hyperventilation / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D014717:Vertigo / Q000209:etiology