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25-04-2024 | Parkinson's Disease | Letter to the Editor Free for a limited time

A case report illustrating the ‘hypotensive twilight zone’ in Parkinson’s disease; an under-recognised presentation of orthostatic hypotension

Authors: J. Gert van Dijk, Bastiaan R. Bloem

Published in: Clinical Autonomic Research

Excerpt

A 67-year-old woman with Parkinson’s disease (PD) was referred for almost daily episodes of reduced responsiveness. Most spells occurred during breakfast, 30 min after taking her first levodopa dose. Her husband noticed she slumped backwards in her chair, staying upright. She stared ahead and did not respond when prodded or spoken to. Such spells could last one hour. She would later remember parts of such periods. Spells also occurred when sitting on a stool while showering. When helped to lie down, the spells ended immediately. She had PD since the age of 60 and used a combination of levodopa/carbidopa and levodopa/benserazide with a net daily dose of 750 mg of levodopa. Her prior history included knee joint problems. Cognitive problems were absent then and later. …

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Title: A case report illustrating the ‘hypotensive twilight zone’ in Parkinson’s disease; an under-recognised presentation of orthostatic hypotension
Authors: J. Gert van Dijk
Bastiaan R. Bloem
Publication date: 25-04-2024
Publisher: Springer Berlin Heidelberg
Keywords: Parkinson's Disease
Hypotension
Hypotension
Levodopa
Geriatrics and Gerontology
Diagnostics in Gerontology and Geriatrics
Published in: Clinical Autonomic Research
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI: https://doi.org/10.1007/s10286-024-01032-5

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A case report illustrating the ‘hypotensive twilight zone’ in Parkinson’s disease; an under-recognised presentation of orthostatic hypotension

Excerpt

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Excerpt

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