Falls, faints, fits and funny turns.
ABSTRACT In this practically oriented review, we will outline the clinical approach of patients with falls due to an impairment or loss of consciousness. Following a set of definitions, we describe the salient clinical features of disorders leading to such falls. Among falls caused by true loss of consciousness, we separate the clinical characteristics of syncopal falls (due to reflex syncope, hypovolemia, orthostatic hypotension or cardiac syncope) from falls due to other causes of transient unconsciousness, such as seizures. With respect to falls caused by an apparent loss of consciousness, we discuss the presentation of cataplexy, drop attacks, and psychogenic falls. Particular emphasis will be laid upon crucial features obtained by history taking for distinguishing between the various conditions that cause or mimic a transient loss of consciousness.
Article: Neurologic aspects and falls.[show abstract] [hide abstract]
ABSTRACT: Falls are widely recognized as a social problem due to the related economic burden on public health budgets. Following the growing body of evidences on the physiopathology of postural control in humans, many factors leading to falls are already well established in the literature. Given the high prevalence of falls among elderly people, the present review focuses on parkinsonism and those "mild parkinsonian signs" frequently presented by elderly subjects. Parkinsonism is a good paradigm for the understanding of the pathophysiology of falling. Specifically, parkinsonian patients display specific features related to falls, such as axial motor symptoms, the impairment of executive functions and of the interplay between motion and cognition, as revealed by the disruption of automaticity.Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases. 01/2012; 9(1):17-20.
Article: Falling too Fahr.Journal of Neurology 01/2012; 259(7):1483-4. · 3.47 Impact Factor