Nervenheilkunde 2015; 34(03): 145-153
DOI: 10.1055/s-0038-1627568
Parkinson
Schattauer GmbH

Orthostatische Hypotonie und nächtliche Hypertonie bei Parkinson-Patienten

Eine neurologische und internistische HerausforderungOrthostatic hypotension and supine hypertension in patients with Parkinson’s diseaseA challenge for neurologists and internists
P. Fischer
1   Abteilung für Neurologie und klinische Neurophysiologie mit Parkinson-Fachklinik, Schön Klinik München Schwabing
› Author Affiliations
Further Information

Publication History

eingegangen am: 05 January 2015

angenommen am: 05 January 2015

Publication Date:
22 January 2018 (online)

Zusammenfassung

Die orthostatische Hypotonie (OH) sowie eine Neigung zu Blutdruckerhöhung in der Nacht und im Liegen (supine hypertension) sind typische nicht motorische Symptome im Rahmen der autonomen Störung bei Parkinson-Patienten. Deren vernachlässigte klinische Bedeutung und Pathogenese – teilweise iatrogen bedingt – sowie pragmatische Therapieoptionen werden in dieser Übersicht behandelt.

Summary

The orthostatic hypotension (OH) as well as the tendency to develop a supine hypertension are typical non-motoric symptoms within the autonomic disorder in patients with Parkinson’s disease. Their clinical relevance, pathogenesis, distribution on various parkinson syndromes and the therapeutic options will be explained in following text.

 
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