title: Mother-induced hypertension in familial dysautonomia.
abstract: Here we report the case of a patient with familial dysautonomia (a genetic form of afferent baroreflex failure), who had severe hypertension (230/149 mmHg) induced by the stress of his mother taking his blood pressure. His hypertension subsided when he learnt to measure his blood pressure without his mother's involvement. The case highlights how the reaction to maternal stress becomes amplified when catecholamine release is no longer under baroreflex control.
authors.affiliation: Dysautonomia Center, Department of Neurology, New York University, New York, NY, 10016, USA. norcll01@nyumc.org.
authors.forename: Lucy
authors.initials: L
authors.lastname: Norcliffe-Kaufmann
authors.affiliation: Dysautonomia Center, Department of Neurology, New York University, New York, NY, 10016, USA.
authors.forename: Jose-Alberto
authors.initials: JA
authors.lastname: Palma
authors.affiliation: Dysautonomia Center, Department of Neurology, New York University, New York, NY, 10016, USA.
authors.forename: Horacio
authors.initials: H
authors.lastname: Kaufmann
mesh_terms: D000293:Adolescent; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods / Q000523:psychology*; D005260:Female; D009477:Hereditary Sensory and Autonomic Neuropathies / Q000503:physiopathology*; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D009035:Mothers; D013315:Stress, Psychological / Q000150:complications* / Q000503:physiopathology
keywords: Autonomic; Blood pressure; Emotions; Hereditary sensory and autonomic neuropathy; Jewish genetic disease; Stress