[Orthostatic hypotension].

Abstract

We report about a 67-year-old woman presenting with progressive orthostatic vertigo, urinary incontinence and clinical signs of Parkinson's disease. The Schellong test revealed deficient sympathetic orthostatic pressure response without an increase of plasma norepinephrine; therefore, a Shy-Drager syndrome was diagnosed. Because of inefficiency of the general measures (compressive pantyhose), the sympathomimetic agonists, and the centrally active alpha-2-antagonists, norepinephrine was administered via a miniature dosing pump. By this therapeutic regimen a marked improvement of orthostatic hypotension was achieved.

• Authors: U Schmitz, Y Ko, S Seewald, K Glänzer, R Düsing, H Vetter
• Journal: Praxis (Praxis (Bern 1994)) Vol. 84 Issue 9 Pg. 264-8 (Mar 01 1995) ISSN: 1661-8157 [Print] Switzerland
• Vernacular Title: Orthostatische Hypotonie.
• PMID: 7892555 (Publication Type: Case Reports, Clinical Conference, English Abstract, Journal Article)

Chemical References

• Atropine

Topics

• Aged
• Atropine (administration & dosage)
• Diagnosis, Differential
• Female
• Humans
• Hypotension, Orthostatic (complications, etiology)
• Infusion Pumps
• Parkinson Disease (diagnosis)
• Shy-Drager Syndrome (diagnosis, drug therapy)
• Urinary Incontinence (complications, etiology)