期刊
AMERICAN JOURNAL OF MEDICINE
卷 132, 期 4, 页码 420-436出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjmed.2018.09.027
关键词
Autonomic disorders; Autonomic failure; Hypocapnic cerebral hypoperfusion; Orthostatic cerebral hypoperfusion syndrome; Postural tachycardia syndrome; Small fiber neuropathy
资金
- Department of Neurology, Brigham and Women's Hospital
Autonomic complaints are frequently encountered in clinical practice. They can be due to primary autonomic disorders or secondary to other medical conditions. Primary autonomic disorders can be categorized as orthostatic intolerance syndromes and small fiber neuropathies; the latter are associated with autonomic failure, pain, or their combinations. The review outlines orthostatic intolerance syndromes (neurally mediated syncope, orthostatic hypotension, postural tachycardia syndrome, inappropriate sinus tachycardia, orthostatic cerebral hypoperfusion syndrome, and hypocapnic cerebral hypoperfusion) and small fiber neuropathies (sensory/autonomic/mixed, acute/subacute/chronic, idiopathic/secondary, inflammatory and noninflammatory). Several specific autonomic syndromes (diabetic neuropathy, primary hyperhidrosis, paroxysmal sympathetic hyperactivity, autonomic dysreflexia), neurogenic bladder, and gastrointestinal motility disorders are discussed as well. (C) 2018 Elsevier Inc. All rights reserved.
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