
POSTURAL HYPOTENSIONWITH PARTICULAR REFERENCE TO ITS OCCURRENCE IN DISEASE OF THE CENTRAL NERVOUS SYSTEM
LAURENCE B. ELLIS, M.D.;
FLORENCE W. HAYNES, Ph.D.
Arch Intern Med. 1936;58(5):773-798.
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Normally, the arterial blood pressure in man is maintained relatively stable in spite of marked variations in body posture. Failure of this postural adaptation occasionally occurs, with the production of symptoms which may handicap the patient severely. Bradbury and Eggleston1 first described the clinical syndrome of "postural hypotension" in 1925. Since that time a total of twenty-six definite case reports have appeared in the literature,2 including reports of cases in which the hypotension occurred in association with tabes dorsalis and Addison's disease. It is questionable whether certain additional cases reported should be included in the total number. Schellong2d cited five cases of postural hypotension but gave insufficient data on three to warrant their inclusion. In two of the cases reported by Laubry and Doumer2i (cases 3 and 5) the fall in blood pressure was so slight, inconstant and transitory that, as Barker2l suggested, it seems
. . . [Full Text PDF of this Article]
Author Affiliations
BOSTON
From the Thorndike Memorial Laboratory, the Second and Fourth Medical Services (Harvard) of the Boston City Hospital and the Department of Medicine of Harvard Medical School.
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