Journal of Neurology

, 258:339

Treatment of dysautonomia in extrapyramidal disorders

Authors

    • Autonomic and neuroendocrinological laboratory, Department of NeurologyUniversity Clinic Carl Gustav Carus, Dresden University of Technology
  • Gerd Fuchs
    • Parkinson Clinic
  • Wolfgang Greulich
    • Neurological clinicHELIOS clinic Hagen-Ambrock, University Witten/Herdecke
  • Heinz Reichmann
    • Movement Disorders Research Group, Department of NeurologyUniversity Clinic Carl Gustav Carus, Dresden University of Technology
  • Michael Schwarz
    • Neurological Clinic
  • Birgit Herting
    • Movement Disorders Research Group, Department of NeurologyUniversity Clinic Carl Gustav Carus, Dresden University of Technology
    • Neurological clinicDiakonie hospital
Article

DOI: 10.1007/s00415-011-5946-8

Cite this article as:
Ziemssen, T., Fuchs, G., Greulich, W. et al. J Neurol (2011) 258: 339. doi:10.1007/s00415-011-5946-8

Abstract

Although extrapyramidal diseases are commonly thought to solely affect the (extrapyramidal) motor system, non-motor symptoms such as behavioural abnormalities, dysautonomia, sleep disturbances and sensory dysfunctions are also frequently observed. Autonomic dysfunction is an important clinical component of extrapyramidal disease, but it is often not formally assessed, and thus frequently misdiagnosed. Symptoms of autonomic dysfunction can impact more on quality of life than motor symptoms. Appropriate symptom-oriented diagnosis and symptomatic treatment as part of an interdisciplinary approach can greatly benefit the patient. This review elaborates a limited overview on the treatment of cardiovascular, gastrointestinal, urogenital and sudomotor autonomic dysfunction in various extrapyramidal syndromes.

Keywords

Extrapyramidal disease Parkinson’s disease Autonomic dysfunction Multiple system atrophy Treatment Dysautonomia

Copyright information

© Springer-Verlag 2011