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Bruns syndrome (postural change syndrome)  180


Bruns Syndrome (postural Change Syndrome)   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;   &n 636c29g bsp;  180

General: Caused by tumors of the third, fourth, or lateral ventricle or by lesions of the midline in the brain.

Ocular: Partial ophthalmoplegia (third nerve paralysis) and gaze paralysis; oculomotor paresis associated with postural change of head or body; amaurosis or transient blindness; flashes of light.

Clinical: Severe paroxysmal headache; nausea and vomiting; vertigo; irregular respiration; apnea; syncope; tachycardia; free-floating cysts within the fourth ventricle may produce intermittent foramen obstruction and Bruns syndrome; Kramer reported a patient with a free-floating cysticercus cyst with this condition.

Alpers BJ, Yaskin HE. The Bruns syndrome. J Nerv Ment Dis 1944; 100:115.

Bruns O. Neuropathologische Demonstrationen. Neurol Centralbl 1902; 21:561.

Geeraets WJ Ocular Syndromes. 3rd ed. Philadelphia: Lea & Febiger, 1976.

Kramer J, et al. Transaqueductal migration of a neurocysticercus cyst. Case report. J Neurosurg 1992; 77:956-968.

Miller NR, ed. Walsh and Hoyt’s Clinical Neuro-Ophthalmology, vol. 5. part 1. 4th ed. Baltimore: Williams & Wilkins, 1995:3345-3346.




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