Laurie, Welcome, though I am sorry that you are here. I assume from the SDS diagnosis, that blood pressure problems are part of your mother's symptom set. What are her other symptoms? During this two year period of deterioration, was she taking the PD drugs with any benefit? Was she able to do PT? Is she able to have someone do range of motion exercises now?
My mother Joyce just died about 2 months ago from an MSA disease. She was diagnosed almost 4 years ago with PD (as many were at first) and then because of her poor response to PD drugs, her rapid deterioration, and balance being an early symptom, was rediagnosed with an MSA disease. As far as we know, my mom did NOT have the BP problems.
At the end, my mom was able only to eat and swallow (thankfully), use her right hand in a limited way, and speak (thoug slurred). She was so rigid and her limbs were so=lp10twisted, walking had become impossible, as did everything else. She had no balance and had injured herself many times trying to walk, breaking many bones, which always set her back so much. She died from aspirating fluids (we believe from a dislodged nose tube) while in the hospital for being impacted. Although she was in terrible shape, her death was unexpected. She, too, had no mental deterioration (except some fogginess from the drugs sometimes).
The course this disease took with my mom was very fast. Others on the list have had SDS for over 20 years. My mother always had PT and tried lots of things to correct a severe head flex. Her body was just pulling her in. My father said that when he lifted her, he could feel the force pulling her down.
The most important things were in the last few months were home health care. Luckily, my mom always pushed herself to the limit, never giving up, so tried to exercise a lot -- but it was so difficult.
I hope your mother has seen a movement disorder specialist. I know that even though my mom saw many, it was often the family's efforts that made a difference in her treatment (we would ask about different drugs, for example, rather than the doctor trying them out).
Let us know more about your mom -- especially her symptoms and what she is taking. You are at the right place, Debbie
Debbie White
dwhite@...