Khurana R K
Neurology. 1987 Jul;37(7):1221-4. doi: 10.1212/wnl.37.7.1221.
Three patients with chronic traumatic cervical myelopathy had severe orthostatic hyperhidrosis. Orthostatic challenge revealed that hypotension preceded hyperhidrosis, hypertension, and chills, all manifestations of autonomic dysreflexia. Treatment of orthostatic hypotension with fludrocortisone acetate relieved these symptoms. Therefore, orthostatic hypotension may trigger autonomic dysreflexia and the usual way of managing such patients, propping them upright, may be counterproductive.
三名患有慢性创伤性颈髓病的患者出现了严重的体位性多汗症。体位性刺激显示，低血压先于多汗症、高血压和寒战出现，这些都是自主神经反射异常的表现。用醋酸氟氢可的松治疗体位性低血压可缓解这些症状。因此，体位性低血压可能引发自主神经反射异常，而常规处理这类患者的方法，即让他们坐直，可能会适得其反。
