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Treatment for autonomic dysfunction varies greatly, depending on the severity and type of dysfunction. Many patients with ROHHAD experience strabismus, which is a weakness in the eye muscles causing a "cross-eyed" effect. This can be treated with glasses, eye muscle exercises, or even surgery. [22]
Dysautonomia, autonomic failure, or autonomic dysfunction is a condition in which the autonomic nervous system (ANS) does not work properly. This condition may affect the functioning of the heart , bladder , intestines , sweat glands , pupils , and blood vessels.
In primary dysautonomias, the autonomic dysfunction occurs as a primary condition (as opposed to resulting from another disease). [1] Autonomic failure is categorized as "primary" when believed to result from a chronic condition characterized by degeneration of the autonomic nervous system, or where autonomic failure is the predominant symptom ...
Pure autonomic failure (PAF) is an uncommon, sporadic neurodegenerative condition marked by a steadily declining autonomic regulation. [3] Bradbury and Eggleston originally described pure autonomic failure in 1925. [4] Patients usually present with orthostatic hypotension or syncope in midlife or later.
Orthostatic intolerance (OI) is the development of symptoms when standing upright that are relieved when reclining. [1] There are many types of orthostatic intolerance. OI can be a subcategory of dysautonomia, a disorder of the autonomic nervous system [2] occurring when an individual stands up. [3]
If, on the other hand, the patient has autonomic overactivity with muscle stiffness and spontaneous muscle twitching, an autoimmune neuromyotonia or Morvan syndrome diagnosis may be considered. [1] Chronic and progressive onset of autonomic symptoms may indicate diabetes, amyloidosis, or Sjogren's syndrome.
Sudomotor dysfunction is one of the most common and earliest neurophysiological manifestations of small fiber neuropathies. [3] In some instances, the small fibers of the autonomic nervous system can be affected, leading to urinary or bowel problems, episodes of rapid heartbeat (palpitations), dry eyes or mouth, or abnormal sweating.
Autonomic nervous system, showing splanchnic nerves in middle, and the vagus nerve as "X" in blue. The heart and organs below in list to right are regarded as viscera. The autonomic nervous system has been classically divided into the sympathetic nervous system and parasympathetic nervous system only (i.e., exclusively motor).