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Fu's subcutaneous needling for orthostatic hypotension due to Guillain-Barré syndrome: A case report

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Journal of Traditional Chinese Medical Sciences 2022年第4期9卷 454-457页

作者： Zhonghua Fu Huiyi Huang Qingqian Yu Yuehan Song Xiulun Gan Zhiyue Li Fengzhi Wu The Institute of Fu's Subcutaneous Needling Beijing University of Chinese MedicineBeijing100029China Clinical Medical College of Acupuncture&Moxibustion and Rehabilitation Guangzhou University of Chinese MedicineGuangzhou510405China School of Traditional Chinese Medicine Beijing University of Chinese MedicineBeijing102488China Shenzhen Institute of Advanced Technology Chinese Academy of SciencesShenzhen518055China

A 28-year-old female developed symptoms of frequent dizziness and occasional syncope while standing up,accompanied by paresthesia in her extremities and occasional *** was diagnosed with Guillain-Barré syndrome(GBS).Her upright blood pressure was undetectable,and cerebrospinal fluid analysis showed protein-leukocyte separation.A nerve conduction study showed that the sensory nerves of her lower limbs had been injured,but the motor nerves were almost *** was treated with immunotherapy and hormonotherapy,which partially relieved her paresthesia and ***,her orthostatic hypotension(OH) persisted after two months of *** three courses of treatment consisting of Fu’s subcutaneous needling,OH significantly improved,with a much less pronounced decrease(<20 mmHg) in systolic blood pressure in the upright position than observed be fore *** was sympto m-free and able to stand and walk for short distances after 3 months of *** case indicates that Fu’s subcutaneous needling treatment is effective for OH caused by GBS,and it may be a suitable alternative when conventional treatment does not produce ideal results.

关键词： orthostatic hypotension GuillaineBarrésyndrome Fu's subcutaneous needling

Prevalence and Contributing Factors of orthostatic hypotension in the Cardiology Department of the CHU Ignace Deen in Conakry

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World Journal of Cardiovascular Diseases 2023年第3期13卷 181-187页

作者： Ibrahima Sory Barry El Hadj Yaya Baldé Ahmed Youssouf Djiba Mariama Béavogui Mamadou Bassirou Mariama Bah Morlaye Soumaoro Abdoulaye Camara Aly Samoura Diarra Koïvogui Kokoulo Koïvogui Salématou Diallo Ibrahima Kalil Tounkara Ousmane Djénaba Savané Mamadou Dadhi Baldé Department of Cardiology CHU Ignace Deen Conakry Guinea

Introduction: orthostatic hypotension (OH) is a frequent situation during consultation in hypertensive patients. The prevalence in the general population increases with age and it is recommended to systematically search for it in patients with multiple comorbidities. The objective of this study was to determine the prevalence of orthostatic hypotension;describe their socio- demographic profile, the various clinical and paraclinical aspects and the predisposing factors of orthostatic hypotension in treated hypertensives, controlled or not. Method: This was a descriptive cross-sectional study, from January 2 to June 30, 2022 in the cardiology department of the Ignace Deen National Hospital. Included in this study were all patients who presented with orthostatic hypotension under antihypertensive treatment, regardless of age and sex, and who agreed to participate in the study. The non-inclusion criteria were hypertensive patients without OH and those who had not agreed to participate in the study. Each patient had blood pressure and heart rate measured in the supine position at room temperature and with an empty bladder. Then the measurement is taken again three (3) minutes after the switch to orthostatism. We retained the diagnosis of OH if the SBP drops by at least 20 mmHg and/or the PAD by at least 10 mmHg three (3) min after the transition to orthostatism. Our data obtained were analyzed in the Epi-info 7.4.0 software. Results: During our study period, we investigated 385 presented with OH, 12.2%. The mean age of the patients was 60.83 years ± 10.01 years and hypertensive patients, 47 of whom the M/F sex ratio was 0.81. In our study, blood pressure was not controlled in 36.2% of our patients with a predominance of grade 3 hypertension, a rate of 55.32%. Renal failure, anemia, heart failure and stroke were the main comorbidities associated with the occurrence of HO. The most incriminated factors were age with a frequency of 74.47%, followed by obesity at 44.68% and

关键词： orthostatic hypotension Contributing Factors Conakry

A Case Report of Recurrent Guillain-Barré Syndrome with orthostatic hypotension Syncope as the First Symptom

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Proceedings of Anticancer Research 2024年第3期8卷 74-79页

作者： Shuai Yan Xin Liu Luxuan Wang Affiliated Hospital of Hebei University Baoding 071000Hebei ProvinceChina

Guillain⁃Barré syndrome (GBS) is an immune-mediated peripheral neuropathy with acute or subacute onset of flaccid paralysis of the limbs with symmetrical hypesthesia and autonomic nerve involvement [1]. The clinical manifestations of autonomic nerve damage are complex and varied, which may involve extensive or limited autonomic function damage, including abnormalities of the skin, pupil, urinary tract, gastrointestinal tract, cardiovascular system, body temperature, lacrimal and salivary glands, and sexual function, etc. [2], and some patients may even have autonomic nerve damage as the only symptom, which is a variant of GBS and is prone to misdiagnosis or underdiagnosis. Recurrence of GBS is rare, and the manifestations of recurrence are often similar to those of the first symptoms [3], but the patient admitted to our hospital had syncope as the main clinical manifestation of recurrence, which was completely different from that of the first incidence, and syncope is not a common and typical clinical manifestation of GBS, so misdiagnosis is highly likely.

关键词： orthostatic hypotension Syncope Guillain-Barrésyndrome

Clinical features of Parkinson’s disease with and without rapid eye movement sleep behavior disorder

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Translational Neurodegeneration 2017年第1期6卷 347-352页

作者： Ye Liu Xiao-Ying Zhu Xiao-Jin Zhang Sheng-Han Kuo William G.Ondo Yun-Cheng Wu Department of Neurology Shanghai General HospitalShanghai Jiao Tong University School of MedicineNo.100Haining RoadShanghai 200080People’s Republic of China Department of Neurology College of Physicians and SurgeonsColumbia UniversityNew YorkUSA Methodist Neurological Institute HoustonTXUSA

Background:Rapid eye movement sleep behavior disorder(RBD)and Parkinson’s disease(PD)are two distinct clinical diseases but they share some common pathological and anatomical *** study aims to confirm the clinical features of RBD in Chinese PD ***:One hundred fifty PD patients were enrolled from the Parkinson`s disease and Movement Disorders Center in Department of Neurology,Shanghai General Hospital from January 2013 to August *** study examined PD patients with or without RBD as determined by the REM Sleep Behavior Disorder Screening Questionnaire(RBDSQ),assessed motor subtype by Unified PD Rating Scale(UPDRS)III at“on”state,and compared the sub-scale scores representing tremor,rigidity,appendicular and *** also assessed the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Mini-Mental State Examination(MMSE),Clinical Dementia Rating(CDR),and Parkinson’s disease Sleep Scale(PDSS).Results:One hundred fourty one PD patients entered the final study.30(21.28%)PD patients had probable RBD(pRBD)diagnosed with a RBDSQ score of 6 or *** were no significant differences for age,including age of PD onset and PD duration,gender,smoking status,alcohol or coffee use,presence of anosmia or freezing,UPDRS III,and H-Y stages between the pRBD+and pRBD−***+group had lower MMSE scores,higher PDSS scores,and pRBD+PD patients had more prominent proportion in anxiety,depression,constipation,hallucination and a greater prevalence of orthostatic ***:pRBD+PD patients exhibited greater changes in non-motor ***,there was no increase in motor deficits.

关键词： Rapid eye movement sleep behavior disorder Parkinson’s disease Depression Cognitive decline orthostatic hypotension Motor deficits