Tags

Type your tag names separated by a space and hit enter

[Treatment of autonomic dysfunction in patients with extrapyramidal disorders].
Fortschr Neurol Psychiatr. 2010 Aug; 78(8):445-55.FN

Abstract

Although extrapyramidal diseases are commonly thought to solely affect the (extrapyramidal) motor system, non-motor symptoms such as behavioural abnormalities, dysautonomia, sleep disturbances and sensory dysfunctions are also frequently observed. Autonomic dysfunction as an important clinical component of extrapyramidal disease (idiopathic Parkinson's disease, multiple system atrophy, progressive supranuclear palsy, dementia with Lewy bodies) is often not formally assessed and thus frequently misdiagnosed. Symptoms of autonomic dysfunction in general impact more on quality of life than motor symptoms. Appropriate symptom-oriented diagnosis and symptomatic treatment as part of an interdisciplinary approach can provide a great benefit for the patient. Unfortunately, double-blind, randomised, controlled studies are scarce with the consequence that most recommendations are not based on the highest level of evidence. This review presents a limited overview on the treatment of cardiovascular, gastrointestinal, urogenital and sudomotor autonomic dysfunctions in various extrapyramidal syndromes.

Authors+Show Affiliations

Autonomes und neuroendokrinologisches Funktionslabor, Neurologische Klinik und Poliklinik, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

20648415

Citation

Friedrich, C, et al. "[Treatment of Autonomic Dysfunction in Patients With Extrapyramidal Disorders]." Fortschritte Der Neurologie-Psychiatrie, vol. 78, no. 8, 2010, pp. 445-55.
Friedrich C, Reichmann H, Ziemssen T. [Treatment of autonomic dysfunction in patients with extrapyramidal disorders]. Fortschr Neurol Psychiatr. 2010;78(8):445-55.
Friedrich, C., Reichmann, H., & Ziemssen, T. (2010). [Treatment of autonomic dysfunction in patients with extrapyramidal disorders]. Fortschritte Der Neurologie-Psychiatrie, 78(8), 445-55. https://doi.org/10.1055/s-0029-1245500
Friedrich C, Reichmann H, Ziemssen T. [Treatment of Autonomic Dysfunction in Patients With Extrapyramidal Disorders]. Fortschr Neurol Psychiatr. 2010;78(8):445-55. PubMed PMID: 20648415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of autonomic dysfunction in patients with extrapyramidal disorders]. AU - Friedrich,C, AU - Reichmann,H, AU - Ziemssen,T, Y1 - 2010/07/20/ PY - 2010/7/22/entrez PY - 2010/7/22/pubmed PY - 2010/12/14/medline SP - 445 EP - 55 JF - Fortschritte der Neurologie-Psychiatrie JO - Fortschr Neurol Psychiatr VL - 78 IS - 8 N2 - Although extrapyramidal diseases are commonly thought to solely affect the (extrapyramidal) motor system, non-motor symptoms such as behavioural abnormalities, dysautonomia, sleep disturbances and sensory dysfunctions are also frequently observed. Autonomic dysfunction as an important clinical component of extrapyramidal disease (idiopathic Parkinson's disease, multiple system atrophy, progressive supranuclear palsy, dementia with Lewy bodies) is often not formally assessed and thus frequently misdiagnosed. Symptoms of autonomic dysfunction in general impact more on quality of life than motor symptoms. Appropriate symptom-oriented diagnosis and symptomatic treatment as part of an interdisciplinary approach can provide a great benefit for the patient. Unfortunately, double-blind, randomised, controlled studies are scarce with the consequence that most recommendations are not based on the highest level of evidence. This review presents a limited overview on the treatment of cardiovascular, gastrointestinal, urogenital and sudomotor autonomic dysfunctions in various extrapyramidal syndromes. SN - 1439-3522 UR - https://www.unboundmedicine.com/medline/citation/20648415/[Treatment_of_autonomic_dysfunction_in_patients_with_extrapyramidal_disorders]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0029-1245500 DB - PRIME DP - Unbound Medicine ER -