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Article
September 1971

Hypothermia in a Case of Hypothalamic Infarction and Sarcoidosis

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.

Arch Neurol. 1971;25(3):245-255. doi:10.1001/archneur.1971.00490030071008
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.

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