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Chapter 12 - Autonomic Dysfunction and Failure in Parkinson’s Disease

Published online by Cambridge University Press:  05 March 2022

By
Thomas Foki ,
Birgit Riemer ,
Bianca Brim  and
Walter Struhal
Edited by
Néstor Gálvez-Jiménez ,
Amos D. Korczyn  and
Ramón Lugo-Sanchez
Néstor Gálvez-Jiménez
Affiliation:
Florida International University
Amos D. Korczyn
Affiliation:
Tel-Aviv University
Ramón Lugo-Sanchez
Affiliation:
Cleveland Clinic
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Summary

Autonomic complications in Parkinsonian syndromes present a considerable cause of reduced quality of life, morbidity, and mortality [1]. Recognition, evaluation, and management are of utmost importance.

The autonomic nervous system is still a field that to many clinicians is obscure or at least its involvement in the clinical course is hard to grasp. This may be based on the considerable widespread knowledge gap and lack of access in electrophysiology evaluation of the autonomic nervous system [2]. However, autonomic syndromes in several autonomic domains are easily evaluable at the bedside, with electrophysiologic autonomic evaluation only necessary in a minority of patients [3]. This chapter will provide a clinical focus on the autonomic cardiovascular, thermoregulatory, urogenital, and gastrointestinal systems.

Type
Chapter
Information
Non-motor Parkinson's Disease , pp. 130 - 144
Publisher: Cambridge University Press
Print publication year: 2022

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