The Cushing response evoked by a fourth ventricular brainstem mass
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We report a case of a patient with a mass lesion of the pontomedullary junction with paroxysmal episodes of autonomic and other homeostatic dysfunction that echo the classic Cushing response to intracranial hypertension.1
Acknowledgments
Acknowledgment: The authors thank William T. Talman, MD, of the University of Iowa Carver College of Medicine, Department of Neurology, and G. Fred Wooten, MD, for expertise and editorial guidance.
Footnotes
Author contributions: Dr. Quigg: drafting/revising the manuscript, study concept or design, analysis or interpretation of data, accepts responsibility for conduct of research and final approval, acquisition of data, statistical analysis, study supervision. Dr. Sadjadi: drafting/revising the manuscript, accepts responsibility for conduct of research and final approval, acquisition of data. Dr. Brown: drafting/revising the manuscript, accepts responsibility for conduct of research and final approval.
Study funding: No targeted funding reported.
Disclosure: The authors report no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
- Received January 26, 2014.
- Accepted in final form April 25, 2014.
- © 2014 American Academy of Neurology
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