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Though initially showing a stable postsurgical course he developed cardiac arrhythmias and a state of acute distributive shock with consecutive multi organ failure. Extensive diagnostic measures could not identify a specific cause for this rapid deterioration. However, under carefully monitored symptomatic therapy the patient improved quickly, was extubated 72\u2005h after admission and discharged from the ICU 6\u2005days later. The follow-up did not show any persisting neurological deficits and no evidence of a residual tumour in the MRI-study.<\/jats:p>","DOI":"10.1136\/bcr-2015-214035","type":"journal-article","created":{"date-parts":[[2016,3,31]],"date-time":"2016-03-31T10:28:54Z","timestamp":1459420134000},"page":"bcr2015214035","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Distributive shock, cardiac arrhythmias and multiple organ failure following surgery of a fourth ventricular epidermoid"],"prefix":"10.1136","volume":"2016","author":[{"given":"Sven","family":"Bercker","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care, University of Leipzig, Medical Faculty, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Meixensberger","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Leipzig, Medical Faculty, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Laudi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, University of Leipzig, Medical Faculty, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Renner","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Leipzig, Medical Faculty, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,3,31]]},"reference":[{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.149.3.7509706"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa062200"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.3","doi-asserted-by":"publisher","DOI":"10.1186\/cc3025"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.7.862"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.5","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199007000-00019"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2007.01276.x"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1986.64.3.0494"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.8","first-page":"570","article-title":"Acute respiratory distress syndrome as a manifestation of brain stem tumour\u2014a case report","volume":"43","author":"Bilik","year":"2009","journal-title":"Neurol Neurochir Pol"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.9","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1600-0404.2008.01050.x","article-title":"Orthostatic hypotension associated with dorsal medullary cavernous angioma","volume":"119","author":"Idiaquez","year":"2009","journal-title":"Acta Neurol Scand"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.10","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.62.8.1286"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.11","first-page":"192","article-title":"Central vasomotor failure in a patient with medulla arteriovenous fistula","volume":"15","author":"Lin","year":"2006","journal-title":"Acta Neurol Taiwan"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.12","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-011-9598-4"},{"key":"2025082704102384000_2016.mar31_3.bcr2015214035.13","doi-asserted-by":"publisher","DOI":"10.1159\/000103146"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-214035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:33Z","timestamp":1756293033000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-214035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,31]]},"references-count":13,"alternative-id":["10.1136\/bcr-2015-214035"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-214035","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,3,31]]}}}