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Symptomatic postprandial hypotension in high paraplegia. Case report.
Paraplegia. 1992 Aug; 30(8):582-6.P

Abstract

Symptomatic postprandial decrease in blood pressure has been described in patients with various autonomic disorders, but not in patients with spinal injuries. Presented herein is a 31 year old female patient with traumatic complete paraplegia under the T3 level, in whom postprandial hypotension (PPH) was observed. The PPH was preceded by an increase in insulin level and was followed by an acceleration of heart rate. Oral caffeine prevented the hypotension and alleviated the symptoms. It is suggested that the PPH might be manifested as a result of damage to an upper thoracic spinal baroreflex. Clinical investigation of PPH is recommended for patients with high paraplegia.

Authors+Show Affiliations

Catz A
Loewenstein Rehabilitation Hospital, Ra'anana, Israel.
Mendelson L
No affiliation info available
Solzi P
No affiliation info available

MeSH

AdultCaffeineDietEatingFemaleFoodHemodynamicsHumansHypotensionInsulinParaplegiaPulse

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1523000

Citation

Catz, A, et al. "Symptomatic Postprandial Hypotension in High Paraplegia. Case Report." Paraplegia, vol. 30, no. 8, 1992, pp. 582-6.
Catz A, Mendelson L, Solzi P. Symptomatic postprandial hypotension in high paraplegia. Case report. Paraplegia. 1992;30(8):582-6.
Catz, A., Mendelson, L., & Solzi, P. (1992). Symptomatic postprandial hypotension in high paraplegia. Case report. Paraplegia, 30(8), 582-6.
Catz A, Mendelson L, Solzi P. Symptomatic Postprandial Hypotension in High Paraplegia. Case Report. Paraplegia. 1992;30(8):582-6. PubMed PMID: 1523000.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Symptomatic postprandial hypotension in high paraplegia. Case report. AU - Catz,A, AU - Mendelson,L, AU - Solzi,P, PY - 1992/8/1/pubmed PY - 1992/8/1/medline PY - 1992/8/1/entrez SP - 582 EP - 6 JF - Paraplegia JO - Paraplegia VL - 30 IS - 8 N2 - Symptomatic postprandial decrease in blood pressure has been described in patients with various autonomic disorders, but not in patients with spinal injuries. Presented herein is a 31 year old female patient with traumatic complete paraplegia under the T3 level, in whom postprandial hypotension (PPH) was observed. The PPH was preceded by an increase in insulin level and was followed by an acceleration of heart rate. Oral caffeine prevented the hypotension and alleviated the symptoms. It is suggested that the PPH might be manifested as a result of damage to an upper thoracic spinal baroreflex. Clinical investigation of PPH is recommended for patients with high paraplegia. SN - 0031-1758 UR - https://www.unboundmedicine.com/medline/citation/1523000/Symptomatic_postprandial_hypotension_in_high_paraplegia__Case_report_ DB - PRIME DP - Unbound Medicine ER -