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10 Possible Causes for Drop Attacks, Severe Recurrent Orthostatic Hypotension, Unresponsiveness

  • 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] 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] […] head Administer aromatic ammonia inhalant Reevaluate vital signs If patient’s condition deteriorates Activate EMS Monitor vital signs If at any time the patient becomes unresponsive[dentalcare.com]

  • 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] 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] […] signs Allow patient to stand for 2 minutes Reevaluate vital signs If patient’s condition is deteriorating Activate EMS Monitor vital signs If at any time the patient becomes unresponsive[dentalcare.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 defining clinical symptom of syncope.  She complained of ‘dizziness’ and then her eyes deviated to the left, she fell on the floor and she became totally flaccid and unresponsive[slideshare.net] Cerebrovascular disease is an uncommon cause of syncope, In patients with vertebrobasilar transient ischemic attacks or subclavian steal syndrome, syncope and drop attacks[ncbi.nlm.nih.gov]

  • 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] Drop attacks. Dizziness or vertigo without loss of consciousness. Alcohol/drug abuse. Transient ischaemic attacks / stroke. Psychogenic pseudosyncope.[patient.info] […] incoordination, and eye-movement abnormalities may precede the autonomic features by as long as 2 years Variable parkinsonian findings: Found in MSA parkinsonian variant; are unresponsive[emedicine.medscape.com]

  • Hypotension

    Effects of orthostatic hypotension on cognition in Parkinson disease. Neurology 2017, 88:17-24 Connolly S and others.[dizziness-and-balance.com] Postprandial hypotension is a sudden drop in blood pressure after a meal.[nhlbi.nih.gov] We present a case of persistent mesenteric traction syndrome manifested by hypotension unresponsive to conventional doses of vasopressors during and after pulling the omentum[ncbi.nlm.nih.gov]

  • 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] 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] -My husband found me unresponsive, lying in the bed, with a pulse of 23. I was rushed to the hospital. My body was no longer able to maintain the autonomic changes.[dinet.org]

  • 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] BPPV can lead to falls or drop-like attacks. BPPV has a 95% or greater successful treatment rate.[hearingreview.com] This effectively fixes the cupula and renders it unresponsive to normal angular acceleration forces and, more importantly, to stimulation from either free-floating particles[cmaj.ca]

  • Agenesis of the Corpus Callosum and Congenital Lymphedema

    orthostatic hypotension.[kegg.jp] Callosotomy is the most effective option against drop attacks. The method probably is underused.[psjd.icm.edu.pl] Following surgery, an ulceration with violaceous borders and a yellow fibrinous base unresponsive to broad-spectrum antibiotics developed at the harvest site.[readbyqxmd.com]

  • Venlafaxine

    Effects of orthostatic hypotension on cognition in Parkinson disease. Neurology 2017, 88:17-24 Connolly S and others.[dizziness-and-balance.com] This usually takes the form of a transient ischemic attack (TIA) precipitated by a blood pressure drop (Brozman et al, 2002).[dizziness-and-balance.com] Pacemaker therapy for prevention of syncope in patients with recurrent severe vasovagal syncope. Jama 2003:289:2224-2229 Freeman R, Young J, Landsberg L, Lipsitz L.[dizziness-and-balance.com]

  • Ptosis - Vocal Cord Paralysis Syndrome

    Complications such as severe orthostatic hypotension, recurrent infections or venous thromboses should be evaluated on the basis of resultant impairment. C.[secure.ssa.gov] Contralateral motor weakness (may cause a 'drop attack'). Sensory disturbance affecting pain and temperature. Incontinence.[patient.info] They further described a 10-week-old infant who received 0.5% apraclonidine topically in both eyes and was unresponsive for several hours. 111 Other alpha-adrenergic receptor[dovepress.com]

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