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11 Possible Causes for Drop Attacks, Falling, Severe Recurrent Orthostatic Hypotension

  • Orthostatic Hypotension

    A 71-year-old man, who was diagnosed with familial amyloidosis type I, was admitted for treatment of severe orthostatic hypotension associated with recurrent syncopal attacks[ncbi.nlm.nih.gov] BACKGROUND: One-third of older adults fall each year.[ncbi.nlm.nih.gov] OH is defined specifically as a 20mmHg drop in systolic, and/or a 10mmHg drop in diastolic BP within 3 min of standing.[clinicaltrials.gov]

  • Syncope

    However, a syncopal episode associated with normal sinus rhythm may be due to several disorders such as orthostatic hypotension, vasovagal or carotid sinus reflexes, or even[omicsonline.org] Syncope, repeated falls and transient loss of consciousness may be associated with all forms of dementia, but are more commonly associated with specific sub-types, e.g. dementia[medsafe.govt.nz] It has many causes, and is distinct from vertigo, seizures, coma, falls, psychogenic pseudosyncope, drop attacks, transient ischaemic attacks, and states of altered consciousness[bestpractice.bmj.com]

  • Micturition Syncope

    Syncope is usually not recurrent; however, recurrent micturition syncope has been reported with bladder neck obstruction, severe chronic orthostatic hypotension, and paroxysmal[ncbi.nlm.nih.gov] The patient should also take measures to prevent severe traumas resulting from falling during a syncope.[symptoma.com] Differential diagnosis of Blackouts • Syncope • Epilepsy • Psychogenic non-epileptic seizures •Cataplexy  Drop attack • Transient CSF obstruction • Transient ischaemic attack[slideshare.net]

  • Dopamine Beta-Hydroxylase Deficiency

    Abstract A woman was referred with severe orthostatic hypotension at the age of 21.[ncbi.nlm.nih.gov] Limitation in standing tolerance, limited ability to exercise and traumatic morbidity related to falls and syncope may represent later evolution.[ncbi.nlm.nih.gov] OH is defined specifically as a 20mmHg drop in systolic, and/or a 10mmHg drop in diastolic BP within 3 min of standing.[allmedx.com]

  • Orthostatic Syncope

    Although symptom recurrence on follow-up was lower in patients with more severe orthostatic hypotension, the clinical significance of this finding needs to be further defined[ncbi.nlm.nih.gov] This phenomenon is known as initial orthostatic hypotension, characterized by a transient fall of systolic and diastolic pressures of 40 mmHg and/or 20 mmHg, respectively.[symptoma.com] Drop attacks. Dizziness or vertigo without loss of consciousness. Alcohol/drug abuse. Transient ischaemic attacks / stroke. Psychogenic pseudosyncope.[patient.info]

  • Hypotension

    Effects of orthostatic hypotension on cognition in Parkinson disease. Neurology 2017, 88:17-24 Connolly S and others.[dizziness-and-balance.com] Functions related to a fall in systolic or diastolic blood pressure below normal for the age.[icd9data.com] Postprandial hypotension is a sudden drop in blood pressure after a meal.[nhlbi.nih.gov]

  • Idiopathic Bilateral Vestibulopathy

    Patients most often experience BPPV when lying down, which distinguishes BPPV from orthostatic hypotension. In addition, BPPV may be recurrent.[raleighcapitolent.com] Older Adult Falls: A Growing Danger Stay Independent: Prevent Falls Elderly Precautions: Walking and Other Restrictions: Never walk in the dark.[tampabayhearing.com] BPPV can lead to falls or drop-like attacks. BPPV has a 95% or greater successful treatment rate.[hearingreview.com]

  • Pure Autonomic Failure

    First, patients with PAF did not have severe urinary disturbances, which would lessen the risk of recurrent urinary infections, and they also did not have life threatening[jnnp.bmj.com] These data suggest that in IPD, food causes a smaller fall in supine BP than in MSA and PAF.[ncbi.nlm.nih.gov] The disease progresses very slowly, and usually presents with a picture of lightheadedness and gradual fading to syncope, often resulting in sudden falls or “drop attacks.[njfaint.com]

  • Agenesis of the Corpus Callosum and Congenital Lymphedema

    orthostatic hypotension.[kegg.jp] Older patients have limb and truncal ataxia and experience frequent falls.[disorders.eyes.arizona.edu] Callosotomy is the most effective option against drop attacks. The method probably is underused.[psjd.icm.edu.pl]

  • Venlafaxine

    Effects of orthostatic hypotension on cognition in Parkinson disease. Neurology 2017, 88:17-24 Connolly S and others.[dizziness-and-balance.com] Loss of sexual desire also falls into this category. Some of the other most common side effects include brain zaps, nausea, weight gain and fatigue or feeling tired.[web.archive.org] Presented is an 86-year-old woman with frequent falls and a Parkinson-like syndrome of the lower limbs secondary to microvascular dementia.[ncbi.nlm.nih.gov]

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