Autonomic ganglionitis with severe hypertension, migraine, and episodic but fatal hypotension.
We report the clinical, pathologic, and immunohistochemical features of a severe hypertensive patient with recurrent migraine-induced hypotension. The patient died of migraine-induced vasomotor paralysis despite prompt institutions of fluid and sympathomimetic and parasympatholytic agents. Postmortem study revealed autonomic ganglionitis and neuritis.
Lee
H C
HC
Department of Medicine, St. Elizabeth's Medical Center,Tufts University School of Medicine, Boston, MA. 02135, USA.
Coulter
C L
CL
Adickes
E D
ED
Porterfield
J
J
Robertson
D
D
Bravo
E
E
Pettinger
W A
WA
D000328:Adult; D005725:Ganglia, Autonomic / Q000473:pathology*; D006801:Humans; D006973:Hypertension / Q000473:pathology*; D007022:Hypotension / Q000473:pathology*; D007150:Immunohistochemistry; D008297:Male; D008881:Migraine Disorders / Q000473:pathology*; D009443:Neuritis / Q000473:pathology*