Parkinson recently admitted a few patients, 3 in the 75-80 year old patients had different degree of dizziness, dizziness, and even some fro
Parkinson recently admitted a few patients, 3 in the 75-80 year old patients had different degree of dizziness, dizziness, and even some from supine sit, appear black eyes dim. What's going on here?
Often associated with Parkinson's disease patients with hypotension, manifested as dizziness when standing up, is generally long with compound levodopa, receptor agonists after the performance, not found in patients with orthostatic hypotension, consider not patients with idiopathic Parkinson's disease, or had its what his illness.
If postural hypotension appears in patients with early onset, often at this time no application of compound levodopa, application of levodopa after clinical curative effect is not significant, the best MRI check the pontine cross sign, it should consider the multiple system atrophy. This is very important because primary Parkinson's disease can be treated with deep electrical stimulation, and multiple system atrophy is not.
Treatment is consistent. Increase the intake of salt, change the body slowly, stretch bandage, etc., the drug is the application of Guan Tong (Mi Duojun), it is the peripheral vascular alpha 1 receptor agonist, can effectively improve orthostatic hypotension. Each dose of 2.5mg, from each half a day, two times a day, can be increased to 6 tablets per day. But not every patient is suitable for taking medicine. One of my patients I try using prednisone, another attempt to adjust the patients taking another antihypertensive drugs, 80 patients discontinued levodopa, single receptor agonist effect.
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