Autonomic manifestations in acute sensory ataxic neuropathy: a case report.
Autor(es): Ohyama Ken,Koike Haruki,Masuda Michihito,Sone Jun,Hashimoto Rina,Tomita Minoru,Kawagashira Yuichi,Iijima Masahiro,Nakamura Tomohiko,Watanabe Hirohisa,Sobue Gen
Resumo: Acute sensory ataxic neuropathy (ASAN) is known to occur with acute and monophasic sensory ataxia. Although autonomic dysfunctions have been reported, no detailed descriptions are currently available. We describe a case of ASAN in which the autonomic manifestations were systematically investigated. Although the patient did not complain of any autonomic symptoms, except for photophobia due to mydriasis, autonomic testing revealed widespread autonomic dysfunctions. Norepinephrine and dobutamine infusion test indicated the presence of sympathetic dysfunction. Additionally, the pupillary response to pilocarpine revealed the presence of parasympathetic dysfunction. In conclusion, widespread, subclinical autonomic dysfunctions may be present in ASAN patients.
Palavras-Chave: Acute sensory ataxic neuropathy, Autonomic failure, Autonomic neuropathy, Guillain-Barré syndrome, Sensory ataxia
Imprenta: Autonomic Neuroscience : Basic & Clinical, v. 179, n. 1-2, p. 155-158, 2013
Identificador do objeto digital: 10.1016/j.autneu.2013.03.009
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2013