Symptomatic postprandial hypotension in high paraplegia. Case report

A. Catz*, L. Mendelson, P. Solzi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Symptomatic postprandial decrease in blood pressure has been described in patients with various autonomic disorders, but not in patients with spinal injuries, Presented herein is a 31 year old female patient with traumatic complete paraplegia under the T3 level, in whom postprandial hypotension (PPH) was observed. The PPH was preceded by an increase in insulin level and was followed by an acceleration of heart rate. Oral caffeine prevented the hypotension and alleviated the symptoms. It is suggested that the PPH might be manifested as a result of damage to an upper thoracic spinal baroreflex. Clinical investigation of PPH is recommended for patients with high paraplegia.

Original languageEnglish
Pages (from-to)582-586
Number of pages5
Issue number8
StatePublished - Aug 1992


  • Caffeine
  • High paraplegia
  • PPH - postprandial hypotension
  • Spinal baroreflex


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