Hypotension Tabetic

Tabetic hypotension is a decrease in blood pressure that occurs when the central parts of the autonomic nervous system (sympathetic department) are affected by syphilis (tabes - a late form of neurosyphilis).

With tabetic hypotension, a decrease in both systolic and diastolic blood pressure is observed. This is due to damage to the centers of the sympathetic nervous system in the brain and spinal cord during the progressive course of neurosyphilis.

Clinically, tabetic hypotension is manifested by dizziness, weakness, palpitations, shortness of breath, especially when moving to a vertical position. Fainting may occur.

Diagnosis is based on anamnesis of the disease, clinical picture, examination data and laboratory tests (Wassermann reaction).

Treatment consists of prescribing antibiotics that act on Treponema pallidum (penicillin), as well as symptomatic therapy to increase blood pressure. Prevention of orthostatic collapse is important. The prognosis with adequate treatment can be relatively favorable.