Zusammenfassung
□ Hintergrund
Eine Reihe von Polyneuropathien geht mit autonomen Störungen einher. Unter ihnen hat die diabetische Neuropathie als die häufigste Neuropathie der westlichen Welt Modellcharakter und kann als Beispiel für die Symptomatologie autonomer Störungen dienen.
□ Diabetische Neuropathie
Die klinischen Störungen reichen von pupillären Symptomen, kardiovaskulären Dysfunktionen, wie orthostatischer Hypotonie und Synkopen, über thermoregulatorische, gastrointestinale Symptome, Störungen der Blasen- und Sexualfunktion sowie respiratorische Symptome bis hin zur fehlenden Wahrnehmung von Hypoglykämien.
□ Andere Neuropathien
Die vorliegende Übersichtsarbeit beschreibt die klinischen Erscheinungsformen autonomer Störungen bei alkoholischer Neuropathie, beim Guillain-Barré-Syndrom, bei paraneoplastischen Polyneuropathien, bei toxischen Neuropathien, bei den akuten und subakuten autonomen Neuropathien, bei Amyloidose, bei Porphyrie, bei familiärer Dysautonomie, bei HIV-Infektion und bei Botulismus.
□ Background
Many polyneuropathies manifest autonomic disturbances. Diabetic neuropathy, the most frequent neuropathy in the western world, serves as model of the symptomatology of autonomic disturbances.
□ Diabetic Neuropathy
Clinical symptoms comprise pupillary and cardiovascular dysfunction such as orthostatic hypotonia and syncopes, thermoregulatory, gastrointestinal symptoms, disturbances in urogenital and respiratory function and unawareness of hypoglycemia.
□ Other Neuropathies
This article also describes autonomic symptoms in alcoholic neuropathy, in Guillain-Barré syndrome, in paraneoplastic polyneuropathies, in toxic neuropathies, in acute and subacute autonomic neuropathy, in amyloidosis, in porphyria, in familiar dysautonomia, in HIV infection and in botulism.
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Hilz, M.J., Dütsch, M. & Neundörfer, B. Autonome Störungen bei Polyneuropathien. Med Klin 93, 533–540 (1998). https://doi.org/10.1007/BF03042662
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DOI: https://doi.org/10.1007/BF03042662
Schlüsselwörter
- Autonome Neuropathie
- Diabetische kardiale autonome Neuropathie
- Alkoholische autonome Neuropathie
- Akute und subakute autonome Neuropathien