Acute pandysautonomia - restitutio ad integrum by high prednisolone therapy.
Summary of "Acute pandysautonomia - restitutio ad integrum by high prednisolone therapy."
Acute pandysautonomia is a rare disease defined as acute widespread and severe sympathetic and parasympathetic failure and sparing of somatic nerve fibers. The causes of this syndrome are often an autoimmune disease leading to autonomic ganglionopathy. The majority of cases have a poor prognosis with a chronic debilitating course. We present a previously healthy 24-year-old female patient, who developed a loss of accommodation, pupillotonia, lacrimation, swallowing disturbances, gastrointestinal symptoms and an atonic bladder with 750 ml residual volume. The Ewing battery showed signs of parasympathetic and sympathetic dysfunction leading to the diagnosis of acute pandysautonomia. Further tests failed to find a cause of acute neuropathy especially where there was no evidence for paraneoplastic or infectious etiology. The patient was treated with high dose intravenous prednisolone and completely recovered.
Affiliation
Department for Neurology and Psychiatry, Autonomic Unit, AKH, Linz, Austria, walter.struhal@akh.linz.at.
Journal Details
This article was published in the following journal.
Name: Wiener klinische Wochenschrift
ISSN: 1613-7671
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21766230
- DOI: http://dx.doi.org/10.1007/s00508-011-0030-z
Medical and Biotech [MESH] Definitions
Prednisolone
A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.
Clobetasol
A derivative of PREDNISOLONE with high glucocorticoid activity and low mineralocorticoid activity. Absorbed through the skin faster than FLUOCINONIDE, it is used topically in treatment of PSORIASIS but may cause marked adrenocortical suppression.
Neoadjuvant Therapy
Preliminary cancer therapy (chemotherapy, radiation therapy, hormone/endocrine therapy, immunotherapy, hyperthermia, etc.) that precedes a necessary second modality of treatment.
Thioguanine
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
Methylprednisolone
A PREDNISOLONE derivative with similar anti-inflammatory action.
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