title: Cluster breathing associated with bihemispheric infarction and sparing of the brainstem.
abstract: OBJECTIVE
  To report cluster breathing pattern associated with a nonbrainstem lesion.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Neurointensive care unit, St Mary's Hospital, Rochester, Minn.
  
  
  METHODS
  A patient with subarachnoid hemorrhage developed severe, diffuse, distal bilateral middle cerebral artery vasospasm with resultant cortical laminar necrosis and transient cluster breathing. Intervention Magnetic resonance imaging revealed bihemispheric lesions but no brainstem lesion.
  
  
  CONCLUSIONS
  Cluster breathing may occur with nonbrainstem lesions.
authors.affiliation: Division of Critical Care Neurology, Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minn, USA.
authors.forename: William D
authors.initials: WD
authors.lastname: Freeman
authors.forename: Surjya
authors.initials: S
authors.lastname: Sen
authors.forename: Tuhin K
authors.initials: TK
authors.lastname: Roy
authors.forename: Eelco F M
authors.initials: EF
authors.lastname: Wijdicks
mesh_terms: D000368:Aged; D020520:Brain Infarction / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D001933:Brain Stem / Q000033:anatomy & histology / Q000502:physiology*; D002540:Cerebral Cortex / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000209:etiology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D012125:Respiratory Center / Q000033:anatomy & histology / Q000502:physiology; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000503:physiopathology; D020301:Vasospasm, Intracranial / Q000150:complications / Q000503:physiopathology