Moguel Guillermo D, Kinsella Laurence J
Department of Internal Medicine, University of New Mexico, 2211 Lomas Boulevard N.E., ACC-5th Floor, Albuquerque, NM 87131-5271, USA.
Clin Auton Res. 2003 Jun;13(3):224-6. doi: 10.1007/s10286-003-0086-6.
We report a case of severe orthostatic hypotension in a 60-year-old patient with Down's syndrome presumably due to spinal cord compression secondary to atlantoaxial instability that resolved following surgical decompression; the mechanism of disease may be selective damage to the autonomic descending fibers.
我们报告一例60岁唐氏综合征患者出现严重直立性低血压,推测是由于寰枢椎不稳继发脊髓受压所致,手术减压后症状缓解;疾病机制可能是自主神经下行纤维的选择性损伤。