Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report

This case study discusses the incidence of a paraneoplastic autonomic neuropathy in an elderly male who had an otherwise negative work-up for their aetiology of orthostatic hypotension. This case illustrates the importance of trying to correctly identify the aetiology of orthostatic hypotension, wh...

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Main Authors: Bharati Dev, Ashwin Varkey, Hrede Afsana
Format: Article
Language:English
Published: European Medical Journal 2023-05-01
Series:European Medical Journal
Online Access:https://www.emjreviews.com/neurology/article/orthostatic-hypotension-and-concomitant-paraneoplastic-syndromes-a-case-report/
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author Bharati Dev
Ashwin Varkey
Hrede Afsana
author_facet Bharati Dev
Ashwin Varkey
Hrede Afsana
author_sort Bharati Dev
collection DOAJ
description This case study discusses the incidence of a paraneoplastic autonomic neuropathy in an elderly male who had an otherwise negative work-up for their aetiology of orthostatic hypotension. This case illustrates the importance of trying to correctly identify the aetiology of orthostatic hypotension, which is often overlooked, and frequently diagnosed as idiopathic. Orthostatic hypotension is most prevalent in elderly populations and can be debilitating, leading to a higher incidence of falls and trauma. Thus, it is important to obtain further work-up when traditional treatments are ineffective. In patients with new and insidious onset of orthostatic hypotension, previous history of malignancy, and possible symptoms consistent with ongoing malignancy, it is imperative to consider paraneoplastic autonomic neuropathy as a potential cause of orthostatic hypotension.
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spelling doaj-art-9845d69b4aa24dca81335feceb8150432025-08-20T02:48:37ZengEuropean Medical JournalEuropean Medical Journal2397-67642023-05-0110.33590/emjneurol/10307775Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case ReportBharati Dev0Ashwin Varkey1Hrede Afsana2New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USANew York Institute of Technology College of Osteopathic Medicine, Old Westbury, USANorthwell/Long Island Jewish Forest Hills Hospital, New York, USA This case study discusses the incidence of a paraneoplastic autonomic neuropathy in an elderly male who had an otherwise negative work-up for their aetiology of orthostatic hypotension. This case illustrates the importance of trying to correctly identify the aetiology of orthostatic hypotension, which is often overlooked, and frequently diagnosed as idiopathic. Orthostatic hypotension is most prevalent in elderly populations and can be debilitating, leading to a higher incidence of falls and trauma. Thus, it is important to obtain further work-up when traditional treatments are ineffective. In patients with new and insidious onset of orthostatic hypotension, previous history of malignancy, and possible symptoms consistent with ongoing malignancy, it is imperative to consider paraneoplastic autonomic neuropathy as a potential cause of orthostatic hypotension.https://www.emjreviews.com/neurology/article/orthostatic-hypotension-and-concomitant-paraneoplastic-syndromes-a-case-report/
spellingShingle Bharati Dev
Ashwin Varkey
Hrede Afsana
Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
European Medical Journal
title Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
title_full Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
title_fullStr Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
title_full_unstemmed Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
title_short Orthostatic Hypotension and Concomitant Paraneoplastic Syndromes: A Case Report
title_sort orthostatic hypotension and concomitant paraneoplastic syndromes a case report
url https://www.emjreviews.com/neurology/article/orthostatic-hypotension-and-concomitant-paraneoplastic-syndromes-a-case-report/
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AT ashwinvarkey orthostatichypotensionandconcomitantparaneoplasticsyndromesacasereport
AT hredeafsana orthostatichypotensionandconcomitantparaneoplasticsyndromesacasereport