Neuromyelitis optica spectrum disorder with severe orthostatic hypotension due to hypothalamic lesions.
Neuromyelitis optica spectrum disorder with severe orthostatic hypotension due to hypothalamic lesions.
复制标题
视神经脊髓炎谱系疾病，由于下丘脑病变导致严重直立性低血压。
DOI：
10.1016/j.msard.2020.101977
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发表时间：
2020
影响因子：
4
通讯作者：
Sonoo Masahiro
中科院分区：
文献类型：
--
作者：
Tanaka Sonoko;Kanbayashi Takamichi;Sonoo Masahiro
背景：罕见的视神经脊髓炎谱系障碍（NMOSD）仅以下丘脑病变为首发病变，这类病例可表现为嗜睡、内分泌病变和自主神经衰竭。然而，由NMOSD引起的下丘脑病变引起的直立性低血压（OH）尚未报道。病例报告：我们报告了一例因下丘脑病变而出现严重OH的NMOSD患者。结论：我们建议临床医生应注意伴有下丘脑病变的NMOSD可能出现OH。
Background: Rare cases of neuromyelitis optica spectrum disorder (NMOSD) occur with only hypothalamic lesions as the initial lesion, and such cases can present with hypersomnia, endocrinopathy, and autonomic failure. However, orthostatic hypotension (OH) caused by hypothalamic lesions due to NMOSD has not been reported.Case report: We report the case of a patient with NMOSD who presented with severe OH due to hypothalamic lesions.Conclusion: We suggest that clinicians should be aware that NMOSD with hypothalamic lesions can present with OH.