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January 1, 1989

Orthostatic hypotension as a risk factor for symptomatic occlusive cerebrovascular disease

January 1989 issue
39 (1) 30

Abstract

Thirteen patients presented with brief, repetitive, stereotyped transient isehemic attacks, large artery atherostenoses or occlusions with impaired collateral flow to a cortical perfusion borderzone, and orthostatic hypotension (OH). OH was caused by diabetes mellitus, aging, and treatments for isehemic heart disease and hypertension. Medical management of OH often eliminated the need for stroke prevention measures such as surgery or anticoagulation. Focal cerebral hypoperfusion from the combination of occlusive vascular disease and OH may be an underreported, treatable cause of TIA and stroke.

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Information

Published In

Neurology®
Volume 39Number 1January 1989
Pages: 30
PubMed: 2909910

Publication History

Published online: January 1, 1989
Published in print: January 1989

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Affiliations & Disclosures

Bruce H. Dobkin, MD
Department of Neurology, Division of Neurologic Rehabilitation, University of California, Los Angeles, CA.

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  5. 2018 ESC Guidelines for the diagnosis and management of syncope, European Heart Journal, 39, 21, (1883-1948), (2018).https://doi.org/10.1093/eurheartj/ehy037
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  7. Stroke: Pathogenesis, Investigations, and Prognosis, Angiology, 51, 11, (885-894), (2016).https://doi.org/10.1177/000331970005101101
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  8. Heads Up! A Novel Provocative Maneuver to Guide Acute Ischemic Stroke Management, Interventional Neurology, 6, 1-2, (8-15), (2016).https://doi.org/10.1159/000449322
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  9. Syncope causes transient focal neurological symptoms, QJM, 108, 9, (711-718), (2015).https://doi.org/10.1093/qjmed/hcv005
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  10. Ischaemic stroke or TIA in older subjects associated with impaired dynamic blood pressure control in the absence of severe large artery stenosis, Age and Ageing, 44, 4, (655-661), (2015).https://doi.org/10.1093/ageing/afv011
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