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Related Experiment Videos

Acute panautonomic neuropathy.

P A Low, P J Dyck, E H Lambert

    Annals of Neurology
    |April 1, 1983
    PubMed
    Summary
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    Acute panautonomic neuropathy involves severe sympathetic and parasympathetic dysfunction. Nerve biopsies reveal fiber loss in some cases, suggesting a spectrum of autonomic and somatic involvement.

    Area of Science:

    • Neurology
    • Autonomic Neuroscience

    Background:

    • Acute panautonomic neuropathy is characterized by sudden, severe impairment of both sympathetic and parasympathetic nervous system functions.
    • Understanding the underlying pathology is crucial for diagnosis and management of this rare condition.

    Observation:

    • Two patients presented with acute panautonomic neuropathy, exhibiting profound autonomic dysfunction.
    • Patient 1 showed nerve biopsy evidence of unmyelinated and small myelinated fiber loss, indicative of a postganglionic lesion.
    • Patient 2 had no significant findings on nerve biopsy despite similar clinical presentation.

    Findings:

    • Autonomic testing in Patient 1 suggested a postganglionic lesion.
    • Specific findings in Patient 1 included selective loss of small myelinated and unmyelinated nerve fibers, absent C potential, and unmeasurable dopamine-beta-hydroxylase activity.

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  • Nerve biopsy in Patient 2 revealed no definitive abnormalities.
  • Implications:

    • Acute panautonomic neuropathies may represent a spectrum of disease with varying degrees of nerve fiber involvement.
    • These findings highlight the heterogeneity in the pathological presentation of acute panautonomic neuropathy.
    • Further research is needed to elucidate the full spectrum and underlying mechanisms of acute panautonomic neuropathies.