Hypothalamic encephalitis with bradycardia

Citation
S. Ishikawa et al., Hypothalamic encephalitis with bradycardia, INTERN MED, 40(8), 2001, pp. 805-807
Citations number
10
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
INTERNAL MEDICINE
ISSN journal
0918-2918 → ACNP
Volume
40
Issue
8
Year of publication
2001
Pages
805 - 807
Database
ISI
SICI code
0918-2918(200108)40:8<805:HEWB>2.0.ZU;2-N
Abstract
A 74-year-old man developed fever, somnolence, hyponatremia, and life-threa tening sinus bradycardia for three weeks. He showed a slight elevation of l ymphocyte count and protein level in the cerebrospinal fluid. A brain CT sc an revealed a diffuse low density area around the hypothalamus which was id entified as a high intensity signal by flair MR imaging. Marked sinus brady cardia developed with no abnormality in the echocardiograph or cardiac enzy mes. Over the next 6 weeks he became alert and normal sinus rhythm resumed. The results of endocrine tests were compatible with hypothalamic insuffici ency with partial hypopituitarism and the syndrome of inappropriate secreti on of ADH.