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SUBACUTE DYSAUTONOMIA WITH INCOMPLETE RECOVERY
Author(s) -
Andersen Oluf,
Lindberg Johan,
Modigh Kjell,
ReskeNielsen Edith
Publication year - 1972
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1972.tb07570.x
Subject(s) - anhidrosis , medicine , dysautonomia , pure autonomic failure , abnormality , lesion , etiology , cholinergic , autonomic nervous system , paralysis , anesthesia , pathology , orthostatic vital signs , surgery , heart rate , disease , psychiatry , blood pressure
A 19‐year‐old woman presented with internal ophthalmoplegia, dryness of mouth, ileus, bladder paralysis and anhidrosis. She had an incomplete recovery in 28 months. Clinical and pharmacological examination showed impairment of peripheral autonomic functions governed by cholinergic parasympathetic and sympathetic nerves, probably caused by an impaired synthesis or release of acetylcholine in post‐ganglionary autonomic nerves. Electron microscopy revealed no abnormality of skin nerve fibres. The site of the lesion resembles that seen in some cases of botulism, but the protracted course of the present case is unique. Its etiology remains obscure.