title: [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.affiliation: Medizinische Universitäts-Poliklinik, Bonn.
authors.forename: U
authors.initials: U
authors.lastname: Schmitz
authors.forename: Y
authors.initials: Y
authors.lastname: Ko
authors.forename: S
authors.initials: S
authors.lastname: Seewald
authors.forename: K
authors.initials: K
authors.lastname: Glänzer
authors.forename: R
authors.initials: R
authors.lastname: Düsing
authors.forename: H
authors.initials: H
authors.lastname: Vetter
mesh_terms: D000368:Aged; D001285:Atropine / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007024:Hypotension, Orthostatic / Q000150:complications / Q000209:etiology*; D007260:Infusion Pumps; D010300:Parkinson Disease / Q000175:diagnosis*; D012791:Shy-Drager Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D014549:Urinary Incontinence / Q000150:complications / Q000209:etiology
chemical_list: D001285:Atropine
vernacular_title: Orthostatische Hypotonie.