Falla auttonómica pura: Síndrome de Bradbury Eggleston / Pure autonomic failure. Bradbury Eggleston Syndrome: Case report
Rev. méd. Chile
;
133(2): 215-218, feb. 2005. tab
Article
in Spanish
| LILACS
| ID: lil-398055
ABSTRACT
Pure Autonomic Failure is a progressive, adult onset, degenerative disorder of the autonomic nervous system characterized clinically by orthostatic hypotension, bladder, sexual and sudomotor dysfunction. Since there are no other associated somatic neurological deficits, this condition must be considered in the differential diagnosis of orthostatic hypotension. We report a 64 years old man with a history of seven years of autonomic dysfunction, with severe orthostatic hypotension, erectile and bladder dysfunction. Autonomic tests showed low circulating norepinephrine levels, sweating abnormalities with regional anhydrosis of the left side of the trunk and abnormal cardiovagal response, indicating generalized autonomic failure. Peripheral somatic neuropathies with autonomic involvement were excluded by normal electrophysiologic tests and the patient was diagnosed pure autonomic failure. Treatment with fludrocortisone and midodrine improved orthostatic tolerance.
Full text:
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Index:
LILACS (Americas)
Main subject:
Autonomic Nervous System Diseases
Type of study:
Diagnostic study
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2005
Type:
Article
Affiliation country:
Chile
/
United States
Institution/Affiliation country:
Mount Sinai Medical School Nueva York/US
/
Pontificia Universidad Católica de Chile/CL
/
Universidad de Valparaíso/CL
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