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I was doing my ward round in our acute stroke ward few days ago, when I noticed that on this week we had two patients with significant postural drop in their blood pressure without being on antihypertensive. The sensory autonomic dysfunction is partly contributing but what is about the management. The physiotherapist rightly very concerned as the patients were limited in what they can do in this case.
Starting the patient with postural hypotension on fludrocortisone is an important issue in view of the nature of the original cerebral ischaemic event.