title: Parkisonism with Shy-Drager syndrome--a case report.
abstract: A previously healthy 60 years old female patient presented with bradykinesia, postural instability and increased rigidity of both upper and lower limbs for 2 years and was diagnosed as Parkinsonism for last years. Later on she developed features of autonomic dysfunction including postural hypotension, hyperhydrosis and urinary incontinence so was diagnosed as Shy-Drager Syndrome. She was treated with fludrocortisone and nefidipine for the management of postural hypotension. Patient developed aspiration pneumonia during oral feeding, despite of ICU management for the same cause patient died of respiratory arrest.
authors.affiliation: Department of Medicine, Manipal College of Medical Science and Teaching Hospital, Pokhara, Nepal. badribmu@gmail.com
authors.forename: B
authors.initials: B
authors.lastname: Paudel
authors.forename: K
authors.initials: K
authors.lastname: Paudel
authors.forename: R
authors.initials: R
authors.lastname: Paudel
authors.forename: K
authors.initials: K
authors.lastname: Pandru
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D020734:Parkinsonian Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012791:Shy-Drager Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy