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Orthostatic hypotension due to arterial baroreflex failure: Difference between revisions
Orthostatic hypotension due to arterial baroreflex failure (view source)
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Jelledejong (talk | contribs) (Created page with "''H.J.L.M. Timmers*, W. Wieling §, J.M. Karemaker +, J.W.M. Lenders *. * Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen and § Department of Me...") |
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==Case Report== | ==Case Report== | ||
[[File:OH_ABF_Fig1.jpg | thumb | 500px | right | Figure 1. BP and heart rate responses to standing up 1 month (left_ and 1 year (right) after the second (contralateral) carotid body tumor resection. (Revised after 6 with permission) | [[File:OH_ABF_Fig1.jpg | thumb | 500px | right | Figure 1. BP and heart rate responses to standing up 1 month (left_ and 1 year (right) after the second (contralateral) carotid body tumor resection. (Revised after 6 with permission)]] | ||
A 63-year-old female, had undergone radical excision of a right sided carotid body tumor at the age of 23. Forty years later, a contralateral carotid body tumor was resected. Surgery was radical and no malignancy was found. The second operation was followed by severe, disabling postural lightheadedness and near-syncope. In addition she suffered from attacks of seve¬re heada¬che, evoked by mental stress and physical exercise like cycling. She had also developed dysphagia and voice changes. Impairment of rima glottis closure at laryngoscopy indicated damage to the superior laryn¬geal nerve. | A 63-year-old female, had undergone radical excision of a right sided carotid body tumor at the age of 23. Forty years later, a contralateral carotid body tumor was resected. Surgery was radical and no malignancy was found. The second operation was followed by severe, disabling postural lightheadedness and near-syncope. In addition she suffered from attacks of seve¬re heada¬che, evoked by mental stress and physical exercise like cycling. She had also developed dysphagia and voice changes. Impairment of rima glottis closure at laryngoscopy indicated damage to the superior laryn¬geal nerve. | ||
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#10 pmid=12640254 | #10 pmid=12640254 | ||
#11 pmid=12810758 | #11 pmid=12810758 | ||
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