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Autonomic dysfunction in parkinsonian disorders: assessment and pathophysiology.
J Neurol Neurosurg Psychiatry 2013; 84(6):674-80JN

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterised by motor dysfunction (parkinsonism) and several non-motor features. Dysautonomia is a significant non-motor feature as well as a neuropsychiatric symptom. Autonomic dysfunction can occur even in the early stages of PD, often preceding the onset of the classic motor symptoms of PD. The patterns of autonomic features in PD are different from other parkinsonian disorders. Detection of autonomic dysfunction may therefore be helpful in diagnosing PD in the early or pre-motor stages, and/or in differentiating it from other parkinsonian disorders, such as multiple system atrophy and progressive supuranuclear palsy. The aim of this review is to describe aspects of autonomic dysfunction, including symptoms, assessment and pathophysiology, resulting from autonomic impairment in PD and other parkinsonian syndromes.

Authors+Show Affiliations

Department of Neurology, Chiba University School of Medicine, Chiba, Japan. asahina@faculty.chiba-u.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22942216

Citation

Asahina, Masato, et al. "Autonomic Dysfunction in Parkinsonian Disorders: Assessment and Pathophysiology." Journal of Neurology, Neurosurgery, and Psychiatry, vol. 84, no. 6, 2013, pp. 674-80.
Asahina M, Vichayanrat E, Low DA, et al. Autonomic dysfunction in parkinsonian disorders: assessment and pathophysiology. J Neurol Neurosurg Psychiatry. 2013;84(6):674-80.
Asahina, M., Vichayanrat, E., Low, D. A., Iodice, V., & Mathias, C. J. (2013). Autonomic dysfunction in parkinsonian disorders: assessment and pathophysiology. Journal of Neurology, Neurosurgery, and Psychiatry, 84(6), pp. 674-80. doi:10.1136/jnnp-2012-303135.
Asahina M, et al. Autonomic Dysfunction in Parkinsonian Disorders: Assessment and Pathophysiology. J Neurol Neurosurg Psychiatry. 2013;84(6):674-80. PubMed PMID: 22942216.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Autonomic dysfunction in parkinsonian disorders: assessment and pathophysiology. AU - Asahina,Masato, AU - Vichayanrat,Ekawat, AU - Low,David A, AU - Iodice,Valeria, AU - Mathias,Christopher J, Y1 - 2012/09/01/ PY - 2012/9/4/entrez PY - 2012/9/4/pubmed PY - 2013/7/16/medline SP - 674 EP - 80 JF - Journal of neurology, neurosurgery, and psychiatry JO - J. Neurol. Neurosurg. Psychiatry VL - 84 IS - 6 N2 - Parkinson's disease (PD) is a progressive neurodegenerative disorder characterised by motor dysfunction (parkinsonism) and several non-motor features. Dysautonomia is a significant non-motor feature as well as a neuropsychiatric symptom. Autonomic dysfunction can occur even in the early stages of PD, often preceding the onset of the classic motor symptoms of PD. The patterns of autonomic features in PD are different from other parkinsonian disorders. Detection of autonomic dysfunction may therefore be helpful in diagnosing PD in the early or pre-motor stages, and/or in differentiating it from other parkinsonian disorders, such as multiple system atrophy and progressive supuranuclear palsy. The aim of this review is to describe aspects of autonomic dysfunction, including symptoms, assessment and pathophysiology, resulting from autonomic impairment in PD and other parkinsonian syndromes. SN - 1468-330X UR - https://www.unboundmedicine.com/medline/citation/22942216/full_citation L2 - http://jnnp.bmj.com/cgi/pmidlookup?view=long&pmid=22942216 DB - PRIME DP - Unbound Medicine ER -