Neurology Book

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Autonomic Dysfunction

Aka: Autonomic Dysfunction, Dysautonomia, Autonomic Neuropathy, Chronic Autonomic Neuropathy
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  1. Types: Chronic Autonomic Failure
    1. Orthostatic Hypotension
      1. Diabetes Mellitus
      2. Amyloidosis
      3. Tabes Dorsalis
      4. Multiple Sclerosis
      5. Acute Intermittent Porphyria
      6. Guillain-Barre Syndrome
      7. Toxins
        1. Vacor rat poison
        2. Arsenic
        3. Mercury
      8. Renal Failure
      9. Medications
      10. See Autonomic Neuropathy
    2. Primary Chronic Autonomic Failure (Idiopathic)
      1. Pure autonomic failure
      2. Multiple system atrophy
      3. Parkinson's Disease
    3. Chronic Orthostatic Intolerance
      1. Example: Neuropathic postural Tachycardia syndrome
    4. Other causes
      1. Panic Disorder (psychogenic Ischemic Heart Disease)
      2. Neurogenic Essential Hypertension
      3. Congestive Heart Failure
      4. Chronic Fatigue Syndrome
  2. Symptoms and Signs
    1. Postural Hypotension
    2. Nocturnal Diarrhea
    3. Impotence
    4. Incomplete voiding
  3. Diagnostics: Telemetry monitoring
    1. No overshoot Tachycardia on standing
    2. No variation in pulse with Valsalva maneuver
    3. No Blood Pressure (<10 mmHg) increase with hand grip
  4. Management: Orthostatic Hypotension
    1. See Vasovagal Syncope for assessment and management
  5. References
    1. Pryse-Phillips in Noble (2001) Primary Care, p. 1599
    2. Saper in Goldman (2000) Cecil Medicine, p. 2057-8
    3. Goldstein (2002) Ann Intern Med 137:753-63

Autonomic nervous system disorders (C1145628)

Definition (MEDLINEPLUS)

Your autonomic nervous system is the part of your nervous system that controls involuntary actions, such as the beating of your heart and the widening or narrowing of your blood vessels. When something goes wrong in this system, it can cause serious problems, including

  • Blood pressure problems
  • Heart problems
  • Trouble with breathing and swallowing
  • Erectile dysfunction in men

Autonomic nervous system disorders can occur alone or as the result of another disease, such as Parkinson's disease, alcoholism and diabetes. Problems can affect either part of the system, as in complex regional pain syndromes, or all of the system. Some types are temporary, but many worsen over time. When they affect your breathing or heart function, these disorders can be life-threatening.

Some autonomic nervous system disorders get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms.

NIH: National Institute of Neurological Disorders and Stroke
Definition (MSH) Diseases of the parasympathetic or sympathetic divisions of the AUTONOMIC NERVOUS SYSTEM; which has components located in the CENTRAL NERVOUS SYSTEM and PERIPHERAL NERVOUS SYSTEM. Autonomic dysfunction may be associated with HYPOTHALAMIC DISEASES; BRAIN STEM disorders; SPINAL CORD DISEASES; and PERIPHERAL NERVOUS SYSTEM DISEASES. Manifestations include impairments of vegetative functions including the maintenance of BLOOD PRESSURE; HEART RATE; pupil function; SWEATING; REPRODUCTIVE AND URINARY PHYSIOLOGY; and DIGESTION.
Definition (CSP) condition in which there is a deviation from or interruption of the normal structure or function of the parasympathetic or sympathetic divisions of the autonomic nervous system; autonomic dysfunction may be associated with hypothalamic diseases, brain stem disorders, spinal cord diseases, and peripheral nervous system diseases; manifestations include impairments of vegetative functions including the maintenance of blood pressure, heart rate, pupil function, sweating, reproductive and urinary physiology, and digestion.
Concepts Disease or Syndrome (T047)
MSH D001342
ICD9 337.9, 337
ICD10 G90.9, G90
SnomedCT 267588005, 15241006, 192922002
English ANS Disease, ANS Diseases, Autonomic Nervous System Diseases, Unspecified disorder of autonomic nervous system, Disorders of the autonomic nervous system, Autonomic Diseases, Autonomic Disease, AUTONOMIC NERVOUS SYSTEM DISORDERS, Autonomic Nervous System Disorders, DISORDERS OF THE AUTONOMIC NERVOUS SYSTEM, Disorder of autonomic nervous system, NOS, Disorder of vegetative system, NOS, Autonomic nervous sys.dis NOS, Autonomic nervous system disorder NOS, Disord of autonomic nrvous sys, Disorder of autonomic nervous system, unspecified, Autonomic nervous system disease or syndrome, Autonomic Nervous System Diseases and Syndromes, autonomic disorder, DIS AUTONOMIC NERVOUS SYSTEM, AUTONOMIC NERVOUS DISORDERS, AUTONOMIC NERVOUS SYSTEM DIS, AUTONOMIC NERVOUS DISORDERS: NONSPECIFIC, ANS DIS, NERVOUS SYSTEM DIS AUTONOMIC, CENTRAL AUTONOMIC NERVOUS SYSTEM DIS, AUTONOMIC DIS, autonomic nervous system disorder (diagnosis), A-48 DISORDERS OF THE AUTONOMIC NERVOUS SYSTEM, autonomic nervous system disorder, ANS disorder, ANS (Autonomic Nervous System) Diseases, Central Autonomic Nervous System Diseases, Nervous System Diseases, Autonomic, Disorders of the Autonomic Nervous System, Autonomic nerve dis NEC, Autonomic nervous system disorder NOS (disorder), Disorder of the autonomic nervous system, unspecified, Autonomic Nervous System Diseases [Disease/Finding], ans disease, autonomic disorders nervous system, autonomic diseases nervous system, diseases ans, autonomic disorders, dysautonomia, disease autonomic, autonomic disease, autonomic disease nervous system, autonomic diseases, autonomic nervous disorders, disease ans, Disorders of autonomic nervous system, Disorder of autonomic nervous system (disorder), Disorder of autonomic nervous system, Disorder of vegetative system, Autonomic nervous system disorders, autonomic; nervous system, disorder, disease (or disorder); autonomic nervous system, disease (or disorder); nervous system, autonomic, disease (or disorder); nervous system, vegetative, nervous system; disorder, autonomic
French SYSTEME NERVEUX AUTONOME, Affections du système nerveux autonomique, Affection non précisée du système nerveux autonomique, Affections du système nerveux autonome, Maladies du système nerveux autonome, Maladies du système nerveux végétatif, Maladies du SNA, Maladies du système nerveux autonome (SNA)
German VEGETATIVES NERVENSYSTEM, unspezifische Stoerung des autonomen Nervensystems, Stoerungen des autonomen Nervensystems, Krankheit des autonomen Nervensystems, nicht naeher bezeichnet, Krankheiten des autonomen Nervensystems, Affektionen des autonomen Nervensystems, Vegetatives Nervensystem, Krankheiten, Krankheiten, autonomes Nervensystem, Nervensystem-Krankheiten, vegetative, Vegetative Nervensystem-Krankheiten, Störungen des vegetativen Nervensystems
Italian Patologie del sistema nervoso autonomo, Disturbo non specificato del sistema nervoso autonomo, Malattie del SNA, Malattie del sistema nervoso autonomo centrale, Disturbi del sistema nervoso autonomo, SNA (sistema nervoso autonomo) malattie, Malattie del sistema nervoso autonomo
Spanish Alteraciones del sistema nervioso autónomo, Trastorno no especificado del sistema nervioso autónomo, Trastornos del sistema nervioso autónomo, trastorno del sistema nervioso autonómico, Autonomic nervous system disorder NOS, TRASTORNOS DEL SISTEMA NERVIOSO VEGETATIVO, trastorno del sistema nervioso autónomo, SAI (trastorno), trastorno del sistema nervioso autónomo, SAI, trastorno del sistema vegetativo, trastorno del sistema nervioso autonómico (trastorno), trastorno del sistema nervioso autónomo, trastorno del sistema nervioso autónomo (trastorno), Enfermedades del Sistema Nervioso Autónomo Central, Enfermedades del Sistema Nervioso Autónomo, Enfermedades del Sistema Nervioso Autonomo Central, Enfermedades del Sistema Nervioso Autonomo
Dutch niet-gespecificeerde aandoening van autonome zenuwstelsel, aandoeningen van het autonome zenuwstelsel, aandoening; autonoom zenuwstelsel, aandoening; zenuwstelsel, autonoom, aandoening; zenuwstelsel, vegetatief, autonoom; zenuwstelsel, aandoening, zenuwstelsel; aandoening, autonoom, Aandoening van autonoom zenuwstelsel, niet gespecificeerd, autonome zenuwstelselaandoeningen, Aandoeningen van autonoom zenuwstelsel, Autonoom-zenuwstelselziekte, Autonoom-zenuwstelselziekten, Centraal-autonoomzenuwstelselziekte, Stoornis van het autonome zenuwstelsel, Zenuwstelselziekte, autonoom-, Ziekte, autonoom-zenuwstelsel-, Ziekten, autonoom-zenuwstelsel-
Portuguese Afecções do sistema neurovegetativo, Afecção NE do sistema nervoso vegetativo, DISTURBIOS DO SISTEMA NERVOSO AUTONOMO, Afecções do sistema nervoso vegetativo, Doenças do Sistema Nervoso Autônomo Central, Doenças do Sistema Nervoso Autônomo, Transtornos do Sistema Nervoso Autônomo
Japanese 自律神経障害, 詳細不明の自律神経系の障害, ｼﾞﾘﾂｼﾝｹｲｼｮｳｶﾞｲ, ｼｮｳｻｲﾌﾒｲﾉｼﾞﾘﾂｼﾝｹｲｹｲﾉｼｮｳｶﾞｲ, 植物神経系疾患, 自律神経系疾患
Swedish Autonoma nervsystemets sjukdomar
Czech autonomní nervový systém - nemoci, Poruchy autonomního nervového systému, Blíže neurčená porucha autonomního nevového systému, Poruchy vegetativního nervového systému
Finnish Autonomisen hermoston sairaudet
Russian NERVNOI SISTEMY VEGETATIVNOI BOLEZNI, NERVNOI SISTEMY SIMPATICHESKOI BOLEZNI, NERVNOI SISTEMY PARASIMPATICHESKOI BOLEZNI, VEGETATIVNAIA DISFUNKTSIIA, ВЕГЕТАТИВНАЯ ДИСФУНКЦИЯ, НЕРВНОЙ СИСТЕМЫ ВЕГЕТАТИВНОЙ БОЛЕЗНИ, НЕРВНОЙ СИСТЕМЫ ПАРАСИМПАТИЧЕСКОЙ БОЛЕЗНИ, НЕРВНОЙ СИСТЕМЫ СИМПАТИЧЕСКОЙ БОЛЕЗНИ
Korean 자율신경계통의 장애, 상세불명의 자율신경계통 장애
Croatian Not Translated[Autonomic Nervous System Diseases]
Polish Choroby układu nerwowego autonomicznego
Hungarian Autonom idegrendszer betegségek, Az autonom idegrendszer nem meghatározott betegsége, Az autonom idegrendszer betegségei
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Dysautonomia (C0013363)

Definition (MSH) Disorders of the AUTONOMIC NERVOUS SYSTEM occurring as a primary condition. Manifestations can involve any or all body systems but commonly affect the BLOOD PRESSURE and HEART RATE.
Definition (NCI) An acute or chronic disorder, affecting the sympathetic or parasympathetic nervous system. It can be primary, the result of central nervous system degeneration, or secondary due to diabetes or alcoholism. Patients with the chronic form of this disorder usually have a progressive clinical course and a poor prognosis.
Concepts Disease or Syndrome (T047)
MSH D054969, D001342
SnomedCT 15241006
English DYSAUTONOMIA, Dysautonomia, NOS, Primary Dysautonomias, Dysautonomias, Dysautonomias, Primary, Primary Dysautonomia, Dysautonomia, Primary, Primary Dysautonomias [Disease/Finding], dysautonomias, dysautonomia, Dysautonomia
Dutch dysautonomie, Dysautonomie
Japanese ｼﾞﾘﾂｼﾝｹｲｲｼﾞｮｳｼｮｳ, 原発性自律神経機能異常, 原発性自律神経異常症, 自律神経異常症, 自律神経機能異常, 自律神経異常症-原発性, 自律神経異常, 自律神経機能異常-原発性
Czech Dysautonomie, dysautonomie, primární dysautonomie
Spanish Disautonomias Primarias, Disautonomías Primarias, Disautonomía, Disautonomia, disautonomía
French Dysautonomies primitives, Dysautonomie, Dysautonomies primaires
Italian Disautonomia, Disautonomia primaria
Russian PERVICHNAIA DIZAVTONOMIIA, DIZAVTONOMII PERVICHNYE, DIZAVTONOMIIA, ДИЗАВТОНОМИИ ПЕРВИЧНЫЕ, ДИЗАВТОНОМИЯ, ПЕРВИЧНАЯ ДИЗАВТОНОМИЯ
German Dysautonomie
Portuguese Disautonomias Primárias, Disautonomia
Swedish Primära dysautonomier
Polish Dysautonomie pierwotne, Zaburzenia czynności układu wegetatywnego pierwotne, Pierwotne dysautonomie
Hungarian Vegetatív idegrendszeri zavar
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Autonomic neuropathy (C0259749)

Definition (NCI) An inherited or acquired peripheral neuropathy affecting the autonomic nervous system. It results in disruption of the involuntary body functions. Inherited causes include Fabry disease and porphyrias. Acquired causes include diabetes, uremia, hepatic disorders, vitamin deficiencies, toxins, and drug toxicities.
Concepts Disease or Syndrome (T047)
SnomedCT 277879009
English AUTONOMIC NEUROPATHY, autonomic neuropathy, Autonomic neuropathy NOS, NEUROPATHY AUTONOMIC, neuropathy autonomic, autonomic neuropathies, Autonomic neuropathy, Autonomic neuropathy (disorder), Autonomic Neuropathy
Italian Neuropatia autonomica, Neuropatia autonomica NAS
Dutch autonome neuropathie NAO, autonome neuropathie
French Neuropathie du système nerveux autonome SAI, Neuropathie du système nerveux autonome
German autonome Neuropathie NNB, autonome Neuropathie
Portuguese Neuropatia vegetativa NE, Neuropatia vegetativa
Spanish Neuropatía autonómica NEOM, neuropatía autónoma (trastorno), neuropatía autónoma, Neuropatía autonómica
Japanese 自律神経ニューロパチーＮＯＳ, ｼﾞﾘﾂｼﾝｹｲﾆｭｰﾛﾊﾟﾁｰNOS, 自律神経ニューロパチー, ｼﾞﾘﾂｼﾝｹｲﾆｭｰﾛﾊﾟﾁｰ
Czech Autonomní neuropatie NOS, Autonomní neuropatie
Hungarian Vegetatív neuropátia k.m.n., Vegetatív neuropátia
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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