This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Rachel Pauzner, MD; Meir Mouallem, MD
Department of Medicine E

Menachem Sadeh, MD
Department of Neurology

Zvi Farfel, MD
Department of Medicine E Sheba Medical Center Tel Hashomer 52621, Israel

Arch Neurol. 1990;47(1):10-11.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—We thank Dr Plum for his interesting comments. The main point in our article is that primary cerebral lymphoma is the most common tumor that causes central neurogenic hyperventilation.¹ We agree with Plum that its pathogenesis is still unknown.

Regarding the possibility of brain-stem involvement in our case, we agree with Plum that it cannot be completely ruled out, since no necropsy was performed. However, the clinical manifestations correlate with the computed tomographic findings, and both support evidence for involvement of the hemispheres only. In an additional patient, no brain-stem involvement was found on computed tomographic scanning.² Moreover, at the necropsy described by Bateman et al, "multiple sections showed no lesion of any kind in the brain stem below the superior colliculus."³

The alkaline pH of the cerebrospinal fluid was found in our patient and in an additional one.³ Only one case of a . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?