Evidence map›Paper›PMID 40837920›Full record

ArticleCureus2025

Unmasking Postural Hypotension: A Stroke Mimic in an Elderly Patient.

Zhi Tian Chen, Lih Yin Chong, Rizuan Mohamed, Deepika Gorthy

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zhi Tian ChenDepartment of Medicine for Older People, Mid and South Essex NHS Foundation, Basildon, GBR.
Lih Yin ChongAcute Medical Unit, Mid and South Essex NHS Foundation, Basildon, GBR.
Rizuan MohamedDepartment of Medicine for Older People, Mid and South Essex NHS Foundation, Basildon, GBR.
Deepika GorthyDepartment of Medicine for Older People, Mid and South Essex NHS Foundation, Basildon, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postural hypotension (also known as orthostatic hypotension) is a common but often underrecognized condition, particularly prevalent among the elderly. Despite its frequency, its clinical significance is sometimes underestimated in routine clinical practice. Failure to recognize this condition can lead to repeated hospitalizations, unnecessary treatments, and increased healthcare costs. We report the case of a 79-year-old male who presented to us with multiple stroke-like episodes in the past six months. He underwent multiple CT scans of the brain/neck and MRI head scans. However, these investigations did not reveal any acute ischemic or hemorrhagic changes or any other acute intracranial abnormality. A simple and non-invasive lying/standing blood pressure measurement done in this admission managed to uncover the mystery of stroke mimic. This case illustrates the value of taking into account postural hypotension in the differential diagnosis of transient neurological symptoms.

Indexed as

adult and geriatric clinical medicineelderly patientsorthostatic cerebral hypoperfusion syndromepostural orthostatic hypotensionstroke mimic

Identifiers

PMID40837920
PMCPMC12361826

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.