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Bedside Approach to Autonomic Disorders

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Bedside Approach to Autonomic Disorders
Disorders of the autonomic nervous system (ANS) are often a severe burden to the
quality of life of our patients, orthostatic intolerance, sweating disorders, sexual dysfunction). In some cases, they may be harmful (syncope with falls, heat
intolerance, urinary retention) or even life threatening (sudden cardiac death, sympathetic storm, heat shock). Diagnosis of ANS disorders is stillu underrepresented,despite their common occurrence in clinical practice. This may be attributed at least in part to a lack of awareness and attention to symptoms of ANS dysfunction. Information on the ANS is rare in many neurological textbooks and often missing during education. This booklet shall help to recognize the presence and distribution of autonomic dysfunctions and provide tips for further management.
The clinical investigations of autonomic functions presented here refer to the office, bedside, or prelaboratory evaluation. It cannot and shall not replace any textbook in this growing, neurological field.


1. General Approach to Patients with Autonomic Disorders “What Is the Autonomic Disease?” – A Basic Tutorial to Autonomic Physiology and Pathophysiology:
Heinz Lahrmann and Walter Struhal
2. Autonomic History Taking and Key Symptoms Where Is the Autonomic Disease?
Alessandra Fanciulli, Elisabetta Indelicato, and Gregor K. Wenning
3. The Diagnosis and Management of Cardiovascular Autonomic Dysfunction and Disease:
Ellen Merete Hagen and Judith Navarro-Otano
4. Sweating Disorders:
Walter Struhal and Heinz Lahrmann
5. Bladder and Sexual Dysfunction:
Alessandra Fanciulli, Gusztav Kiss, Sabine Eschlböck, Gregor K. Wenning, and Jalesh N. Panicker
6. Gastrointestinal Dysfunction:
Roberta Granata, Eschlböck Sabine, Herbert Tilg, and Gregor Wenning
7. Autonomic Hyperactivity Syndromes:
Walter Struhal and Heinz Lahrmann
8. Sleep: Cardiovascular and Ventilatory Disorders:
Luisa Sambati, Giovanna Calandra-Buonaura, and Pietro Cortelli

Title: Bedside Approach to Autonomic Disorders
Author: Walter Struhal, Heinz Lahrmann, Alessandra Fanciulli, Gregor K. Wenning
Language: English


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