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A Practical Guide to the Treatment of Neurogenic Orthostatic Hypotension

Published online by Cambridge University Press:  23 September 2014

Michael J. Berger  and
Kurt Kimpinski
Michael J. Berger
Affiliation:
Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia
Kurt Kimpinski*
Affiliation:
Department of Clinical Neurological Sciences, London Health Sciences Centre and Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
*
London Health Sciences Centre, University Hospital, 339 Windermere Road, London, Ontario, N6A 5A5, Canada, Email: kurt.kimpinski@lhsc.on.ca
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Abstract

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Neurogenic orthostatic hypotension (NOH) is a debilitating condition associated with many central and peripheral neurological disorders. It has a complex pathophysiology and variable clinical presentation, which makes diagnosis and treatment difficult. Neurogenic orthostatic hypotension is often confused with other disorders of orthostatic intolerance, hypovolemic states and systemic conditions. Diagnosis is usually made by an autonomic specialist following characteristic responses to head-up tilt. Symptom control can be achieved through a combination of patient education, nonpharmacologic and pharmacologic therapy. The purpose of this review is to provide the clinician with a practical approach to the diagnosis and management of NOH.

Type
Review Article
Information
Canadian Journal of Neurological Sciences , Volume 41 , Issue 2 , March 2014 , pp. 156 - 163
Copyright
Copyright © The Canadian Journal of Neurological 2014

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