Autonomic neuropathy — an uncommon variant of Guillain–Barré syndrome

Henderson, Robert D.; Pandian, Jeyaraj D.; Dalton, Kaye; Bradfield, John M

doi:10.5694/j.1326-5377.2010.tb03486.x

Cited by 2 publications

(3 citation statements)

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“…Our patient was young and did not have arteriosclerosis, which is a potential cause of the reduced blood flow. Although cutaneous autonomic dysfunction was observed in MSA ( 5 ), PD ( 7 ), diabetes mellitus ( 10 ), and Guillain-Barré syndrome ( 11 ), the patient was not diagnosed with any of these diseases. Furthermore, the patient had no medical history of any other disease that could lead to autonomic dysfunction.…”

Section: Discussionmentioning

confidence: 94%

Dentatorubropallidoluysian Atrophy with Prominent Autonomic Dysfunction

et al. 2023

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We herein report a 45-year-old man with dentatorubropallidoluysian atrophy (DRPLA) who presented with mild dementia, ataxia, and involuntary movement and developed constipation, dysuria, and orthostatic hypotension. Thermography revealed an abnormal thermal response of the skin to cold stimulation. Skin temperature reflects the skin blood flow and is regulated by the sympathetic nervous system. Thermography is currently used to study diseases associated with vasomotor dysfunction of the skin. The thermography results suggested the possibility of autonomic dysfunction. Although little is known regarding autonomic dysfunction in DRPLA, this report demonstrates the importance of autonomic dysfunction in DRPLA.

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Section: Discussionmentioning

confidence: 94%

Dentatorubropallidoluysian Atrophy with Prominent Autonomic Dysfunction

et al. 2023

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“…Cholinergic dysautonomia is a unique form of autonomic dysfunction that results from selective postganglionic cholinergic dysfunction; this disorder is characterized by marked parasympathetic dysfunctions, but no sympathetic symptoms except for sudomotor dysfunction . To date, studies have not determined whether cholinergic dysautonomia falls on the continuum of the AAG spectrum or whether cholinergic dysautonomia is a distinct entity.…”

Section: Primary Autonomic Neuropathiesmentioning

confidence: 99%

“…Most patients with cholinergic dysautonomia are children and young adults. Females are more likely to be affected, and antecedent infections have been reported in some cases . The progression of cholinergic dysautonomia is acute to subacute.…”

Section: Primary Autonomic Neuropathiesmentioning

confidence: 99%

Wide range of clinicopathological features in immune‐mediated autonomic neuropathies

Koike

Sobue

2013

Clinical & Exp Neuroim

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Autonomic neuropathies can occur primarily or secondarily to various underlying diseases. The clinical features of autonomic neuropathies vary with the severity and the modality of autonomic dysfunctions, the degree of somatic involvement, the presence or absence of anti-ganglionic acetylcholine receptor antibody and the extent of unmyelinated fiber loss. Primary autonomic neuropathies, which usually affect both cholinergic and adrenergic functions, are divided into autoimmune autonomic ganglionopathy, acute autonomic and sensory neuropathy, and acute autonomic sensory and motor neuropathy based on the concomitance or absence of sensory or motor dysfunctions (although the nosological relationship of acute autonomic sensory and motor neuropathy to Guillain-Barr e syndrome should be carefully considered). The monophasic clinical course and frequent presence of a history of antecedent infections suggests that immune mechanisms participate in these neuropathies. The discovery of the anti-ganglionic acetylcholine receptor antibody significantly expanded the spectrum of autonomic neuropathies, especially autoimmune autonomic ganglionopathy, to include cases with chronic progression mimicking pure autonomic failure. Patients with primary autonomic neuropathies might manifest restricted forms of autonomic dysfunctions, such as cholinergic dysautonomia, postural orthostatic tachycardia syndrome, chronic intestinal pseudo-obstruction or acquired idiopathic generalized anhidrosis. Some immunological diseases, such as paraneoplastic syndrome, connective tissue diseases and celiac disease, might also cause diverse autonomic neuropathies. As many nonimmunological diseases are known to cause various types of autonomic dysfunctions, excluding such diseases is important for the diagnosis of immune-mediated autonomic neuropathies. (Clin Exp Neuroimmunol

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Autonomic neuropathy — an uncommon variant of Guillain–Barré syndrome

Cited by 2 publications

References 0 publications

Dentatorubropallidoluysian Atrophy with Prominent Autonomic Dysfunction

Dentatorubropallidoluysian Atrophy with Prominent Autonomic Dysfunction

Wide range of clinicopathological features in immune‐mediated autonomic neuropathies

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