CHARLES A. WOOD JR., Pharm.D.; JOHN RIDDLE, M.D.; RALPH REED, M.D.; CONNIE PAUL, Ph.D.
To the editor: Orthostatic hypotension is a common problem in patients after spinal cord injury, especially in patients who have had vagotomy (1). Various commonly recommended combinations of physical and medical treatments are usually effective. We present the case report of a patient with C7-C8 quadriplegia and chronic orthostatic hypotension unresponsive to conventional therapy but treated successfully with a monoamine oxidase inhibitor and tyramine.
A 65-year-old man had been injured in a fall in 1964 and suffered a C7-C8 incomplete quadriplegia. He has been followed by the spinal cord injury service at the Veterans Administration Medical Center in Memphis since
WOOD CA, RIDDLE J, REED R, PAUL C. Quadriplegia, Orthostatic Hypotension, and Phenelzine with Tyramine. Ann Intern Med. ;103:803–804. doi: 10.7326/0003-4819-103-5-803_2
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Published: Ann Intern Med. 1985;103(5):803-804.
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