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  • Title: [A case of hemodynamic brain infarction with postprandial hypotension].
    Author: Isa K, Tokashiki T, Tana T, Muratani H, Oya Y, Takishita S.
    Journal: Rinsho Shinkeigaku; 2002 Oct; 42(10):959-62. PubMed ID: 12739387.
    Abstract:
    A 76-year-old man with left internal carotid artery occlusion developed a progressing right hemiparesis. Brain MRI presented reinfarctions in the left anterior border zone and terminal zone in the left deep white matter. Ambulatory blood pressure monitoring showed a decrease in systolic blood pressure by more than 20 mmHg one hour after starting meals, which is considered as postprandial hypotension. The recurrent stroke occurred probably by a hemodynamic mechanism with the presence of internal carotid artery occlusion and postprandial hypotension. Administration of voglibose, an alpha-glucosidase inhibitor, improved postprandial hypotension. In patients with severe carotid or intracranial artery disease, the postprandial hypotension should be carefully monitored for prevention of hemodynamic brain ischemia.
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