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Case 63: Small Fiber Sensory Neuropathy with Elevated Ganglionic Acetylcholine Receptor Antibody Responding to Immunoglobulins 病例63:小纤维感觉神经病变伴免疫球蛋白应答的神经节乙酰胆碱受体抗体升高
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0068
P. Novak
{"title":"Case 63: Small Fiber Sensory Neuropathy with Elevated Ganglionic Acetylcholine Receptor Antibody Responding to Immunoglobulins","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0068","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0068","url":null,"abstract":"This case demonstrates inflammatory small fiber neuropathy, sensory, length-dependent. Autonomic functions were essentially normal. Patient tested positive for ganglionic acetylcholine receptor antibody and improved on intravenous immune globulin therapy.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127311134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 40: Parkinson’s Disease with Compensated Orthostatic Hypotension 病例40:帕金森病伴代偿性直立性低血压
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0045
P. Novak
{"title":"Case 40: Parkinson’s Disease with Compensated Orthostatic Hypotension","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0045","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0045","url":null,"abstract":"Autonomic failure manifesting as neurogenic orthostatic hypotension and supine hypertension are common manifestations of cardiovascular dysautonomia in Parkinson’s disease. Depending on the cerebral blood flow, neurogenic orthostatic hypotension can be either compensated (with stable orthostatic cerebral blood flow) and noncompensated (with reduced flow).","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131340768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 54: Polyneuropathy Affecting Large and Small Fibers in Multiple Autoimmune Disorders 病例54:多发性自身免疫性疾病中影响大纤维和小纤维的多神经病变
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0059
P. Novak
{"title":"Case 54: Polyneuropathy Affecting Large and Small Fibers in Multiple Autoimmune Disorders","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0059","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0059","url":null,"abstract":"This patient had diagnoses of multiple autoimmune disorders including Sjögren syndrome, rheumatoid arthritis, and systemic lupus erythematosus. Sjögren syndrome can be accompanied by severe painful neuropathy and dysautonomia. Orthostatic intolerance was due to cerebral autoregulatory failure.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131440759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 92: Anxiety 案例92:焦虑
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0097
P. Novak
{"title":"Case 92: Anxiety","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0097","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0097","url":null,"abstract":"The tilt test can be useful in the evaluation of anxiety and to differentiate anxiety from orthostatic intolerance.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114173174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 99: Mixed Tilt Patterns in Rheumatoid Arthritis 病例99:类风湿关节炎的混合倾斜型
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0104
P. Novak
{"title":"Case 99: Mixed Tilt Patterns in Rheumatoid Arthritis","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0104","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0104","url":null,"abstract":"Autonomic testing may reveal combined initial orthostatic hypotension and orthostatic hypotension due to a combination of volume depletion and adrenergic failure, presyncope with prominent vasodepressor component, and small fiber neuropathy.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121145104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 78: Small Fiber Neuropathy in Wilson Disease 病例78:肝豆状核变性的小纤维神经病
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0083
P. Novak
{"title":"Case 78: Small Fiber Neuropathy in Wilson Disease","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0083","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0083","url":null,"abstract":"The tilt test provoked characteristic syncope, mixed form, with simultaneous decline in heart rate and blood pressure. Small fiber neuropathy, severe, length-dependent, mixed, affecting both sensory and autonomic fiber was diagnosed. This patient had several potential causes of small fiber neuropathy, including metabolic derangement after bariatric surgery, Wilson disease, and chronic therapy with penicillamine.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116245394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 71: Small Fiber Neuropathy, Postural Tachycardia, and Mast Cell Activation Syndrome 病例71:小纤维神经病，体位性心动过速，肥大细胞激活综合征
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0076
P. Novak
{"title":"Case 71: Small Fiber Neuropathy, Postural Tachycardia, and Mast Cell Activation Syndrome","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0076","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0076","url":null,"abstract":"The patient has history of mast cell activation syndrome (MCAS) in which mast cells inappropriately release active substances including leukotriene and histamines, triggering symptoms of flushing and orthostatic intolerance. Small fiber neuropathy was length-dependent, mild, affecting predominantly sensory fibers. Tilt test showed postural tachycardia syndrome (POTS).","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"7 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120911509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 94: Anxiety and Postural Tachycardia Syndrome 病例94:焦虑和体位性心动过速综合征
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/med/9780190889227.003.0099
P. Novak
{"title":"Case 94: Anxiety and Postural Tachycardia Syndrome","authors":"P. Novak","doi":"10.1093/med/9780190889227.003.0099","DOIUrl":"https://doi.org/10.1093/med/9780190889227.003.0099","url":null,"abstract":"Severe anxiety and severe postural tachycardia syndrome (POTS) may coexist, and both require adequate therapy. Autonomic testing can be useful in the evaluation of dizziness in anxious patients.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127160924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 19: Straining-Induced Dizziness 病例19:紧张引起的头晕
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/med/9780190889227.003.0024
P. Novak
{"title":"Case 19: Straining-Induced Dizziness","authors":"P. Novak","doi":"10.1093/med/9780190889227.003.0024","DOIUrl":"https://doi.org/10.1093/med/9780190889227.003.0024","url":null,"abstract":"This is an example of a Valsalva-like activity (straining) inducing dizziness and headaches. Autonomic testing showed excessive increase of cerebral blood flow velocity during Phase 4 of the Valsalva maneuver, which is consistent with cerebral hyperemia. Valsalva-induced headaches are usually indomethacin-responsive.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124180299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case 53: Small Fiber Neuropathy with Striational Antibodies 病例53:小纤维神经病伴条纹抗体
Autonomic Testing Pub Date : 2019-03-01 DOI: 10.1093/MED/9780190889227.003.0058
P. Novak
{"title":"Case 53: Small Fiber Neuropathy with Striational Antibodies","authors":"P. Novak","doi":"10.1093/MED/9780190889227.003.0058","DOIUrl":"https://doi.org/10.1093/MED/9780190889227.003.0058","url":null,"abstract":"This case describes neuropathic postural tachycardia syndrome (POTS) with striational antibodies that can be associated with small fiber neuropathy and respond to IVIG.","PeriodicalId":358532,"journal":{"name":"Autonomic Testing","volume":"19 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116560263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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