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Autonomic neuropathy, II: Specific peripheral neuropathies

A J McDougall1, J G McLeod

  • 1Department of Medicine, University of Sydney, Australia.

Journal of the Neurological Sciences
|June 1, 1996
PubMed
Summary

Autonomic dysfunction frequently complicates peripheral neuropathies, ranging from mild to severe. Several specific conditions, including diabetes and Guillain-Barré syndrome, are linked to profound autonomic disturbances.

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Area of Science:

  • Neurology
  • Autonomic Nervous System Research

Background:

  • Autonomic dysfunction is a frequent complication observed in various peripheral neuropathies.
  • While often clinically minor, some neuropathies can lead to severe autonomic disturbances.

Purpose of the Study:

  • To review the spectrum of autonomic dysfunction associated with peripheral neuropathies.
  • To identify specific neuropathic conditions linked to significant autonomic impairment.

Main Methods:

  • Literature review of peripheral neuropathies and associated autonomic dysfunction.
  • Categorization of neuropathies based on the severity of autonomic involvement.

Main Results:

  • Profound autonomic dysfunction is associated with acute dysautonomia, diabetes, familial amyloidosis, Guillain-Barré syndrome, porphyria, and inherited neuropathies.

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  • Lesser autonomic dysfunction occurs in hereditary neuropathies and those linked to metabolic issues, alcohol, malignancy, medications, infections, and connective tissue disorders.

    • Conclusions:

    • Peripheral neuropathies present a wide range of autonomic dysfunction.
    • Awareness of specific conditions is crucial for managing severe autonomic complications.