Abstract
We present a case of Parkinson’s disease patient whose initial symptoms were sick sinus syndrome and orthostatic hypotension. Our case illustrates difficulties in distinguishing syncope of primary cardiac or neurological origin and highlights the importance of a diagnostic workup including neurological examination.
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Jankovic J (2008) Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry 79:368–376
Yamamoto T, Tamura N, Kinoshita S, Itokawa K, Sumita N, Fukui M et al (2009) A case of sick sinus syndrome and autonomic failure with Parkinson’s disease. Auton Neurosci Basic Clin 146:115–117
Goldstein, Holmes CS, Dendi R, Bruce SR, Li ST (2002) Orthostatic hypotension from sympathetic denervation in Parkinson’s disease. Neurology 58:247–255
Druschky A, Hilz MJ, Platsch G, Radespiel-Troger M, Druschky K, Kuwert T (2000) Differentiation of Parkinson’s disease and multiple system atrophy in early disease stages by means of I-123-MIBG-SPECT. J Neurol Sci 175:3–12
Ziemssen T, Reichmann H (2010) Cardiovascular autonomic dysfunction in Parkinson’s disease. J Neurol Sci 289:74–80
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Adamec, I., Klepac, N., Milivojević, I. et al. Sick sinus syndrome and orthostatic hypotension in Parkinson’s disease. Acta Neurol Belg 112, 295–297 (2012). https://doi.org/10.1007/s13760-012-0034-0
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DOI: https://doi.org/10.1007/s13760-012-0034-0