Orthostatic circulatory disorders in early neurorehabilitation: a case report and management overview

Brain Inj. 2007 Jun;21(7):763-7. doi: 10.1080/02699050701481639.

Abstract

Orthostatic circulatory disorders are a common problem in the mobilization of patients with severe neurological diseases such as paraplegia, the vegetative state or the minimally conscious state. They create difficulties when mobilizing the patient out of bed. Although their incidence has not been clearly established and the severity and length of symptoms differ greatly, a relevant number of the patients in a rehabilitation unit is affected. Rehabilitation specialists should therefore be aware of these disorders and the therapeutic alternatives available. This case study reports on a 45-year-old patient who repeatedly suffered from orthostatic hypotension after a severe traumatic brain injury. The pathogenesis and predisposing factors of orthostatic dysfunction in severely disabled neurological patients as well as therapeutic efforts are subsequently reviewed.

Publication types

  • Case Reports

MeSH terms

  • Brain Injuries / complications*
  • Brain Injuries / physiopathology
  • Brain Injuries / rehabilitation*
  • Humans
  • Hypotension, Orthostatic / etiology*
  • Hypotension, Orthostatic / physiopathology
  • Hypotension, Orthostatic / rehabilitation*
  • Male
  • Middle Aged
  • Syncope / etiology
  • Syncope / physiopathology
  • Syncope / rehabilitation