This is important, common and underecognised by neurologists. It can take different forms including feeling ill, symptoms worsening without explanation, brain fog and even momentary unrousability when sitting
33 years after our 1st joint paper, my mentor & friend Gert van Dijk (now retired) and I published new article together.
Highly relevant: hypotensive “twilight zone”, often missed in persons with
#Parkinson
. Timely recognition is important: it is debilitating & treatable.
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@ajlees
Concurrent medication for comorbidity with hypotensive effects eg alpha blockers also underrecognised ...
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@ajlees
The inaccuracy of electric/battery sphyg’s does not help at all. I’ve lost count of the number of patients put on unnecessary beta blockers due to misreads related to tremor or dyskinesia affecting readings. Those patients (admitted) surprise surprise had significantly low BP
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@ajlees
@ScienceofPD
Keeping a high index of suspicion for OH in ALL PD patients is extremely important and could decrease morbidity and improve QoL. It just takes an extra couple of minutes to check.
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@ajlees
Excellent description of this important to recognize phenomena.
Can’t tell you how many times Lewy body disease patients come to me on antiepileptics due this plus different fluctuations in arousal being misdiagnosed
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