Neurogenic orthostatic hypotension with Parkinson's disease as a cause of syncope: A case report

Table 1 Timeline

Time	Event
Jan 1, 2010	Diagnosed with hypertension
Sep 25, 2019	Presented with trembling right hand
Mar 15, 2020	Presented with trembling hands, diagnosed with Parkinson's disease, and treated with Madopar (125 mg three times a day) and Selegiline (5 mg once a day)
Jun 22, 2020	Presented with a forward gait
Aug 2, 2020	Unstable blood pressure, up to 220/112 mmHg, and as low as 70/40 mmHg, antihypertensive drugs did not work
Sep 3, 2020	Felt dizziness, profuse sweating and started talking gibberish, and then lost consciousness for several minutes after getting up and going down the stairs in the morning
Sep 11, 2020	Ambulatory blood pressure monitoring indicated nOH and supine hypertension, taking Midodrine (2.5 mg two times a day, but not within 5 h of bedtime), basic treatment and stopping taking Selegiline
Dec 13, 2020	Much more stable blood pressure and no recurrence syncope
May 2, 2021	No recurrence syncope, and the 24-h ambulatory blood pressure monitoring indicated much more stable blood pressure

nOH: Neurogenic orthostatic hypotension.