Bilateral bulbar palsy and postural hypotension following surgery for fourth ventricle subependymoma.
We report a 54-year-old man who developed bilateral bulbar palsy and severe postural hypotension following resection of a fourth ventricle subependymoma. It is proposed that interruption of the function of the nucleus of the tractus solitarius (in which the baroreflex is integrated) may have been responsible for the postural hypotension.
Tadros
Rami
R
Department of Clinical Pharmacology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000, Australia. rami.tadros@health.sa.gov.au
Tonkin
Anne
A
D010244:Bulbar Palsy, Progressive / Q000209:etiology*; D002551:Cerebral Ventricle Neoplasms / Q000473:pathology / Q000601:surgery; D020546:Fourth Ventricle / Q000473:pathology / Q000601:surgery*; D018315:Glioma, Subependymal / Q000473:pathology / Q000601:surgery; D006801:Humans; D007024:Hypotension, Orthostatic / Q000209:etiology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*