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Hypothermia in a Case of Hypothalamic Infarction and Sarcoidosis
Eleanor F. Branch, MA;
Peter C. Burger, MD;
David L. Brewer, MD
Arch Neurol. 1971;25(3):245-255.
Abstract
Subnormal body temperatures were recorded in a patient with mental deterioration, seizures, stupor, and hypoglycemia. A history of alcoholism and sarcoidosis was obtained. Postmortem examination revealed bilateral involvement of the hypothalamus by small hyalinized masses, presumably healed sarcoid granulomata, and a unilateral hemorrhagic infarct. The infarct was restricted to the caudolateral hypothalamus on the left side; on the right side, the ventromedial nucleus showed the greatest involvement by the sarcoid process. The possible role of these lesions in the occurrence of hypothermia is discussed.
Author Affiliations
Durham, NC
From the Department of Pathology, Duke University Medical Center (Mrs. Branch and Dr. Burger), and the Department of Medicine, Veterans Administration Hospital (Dr. Brewer), Durham, NC.
Footnotes
Accepted for publication March 10, 1971.
Reprint requests to Department of Pathology, Box 3712, Duke University Medical Center, Durham, NC 27706 (Mrs. Branch).
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