Autonomic Neuropathy

Question 1

Autonomic Neuropathy - Features

Answer 1

• impotence
• inability to sweat
• postural hypotension e.g. drop of 15-30mmHg
• loss of decrease in HR following deep breathing
• Pupils - dilate following adrenaline instillation

Question 2

Autonomic Neuropathy - Causes

Answer 2

• DM
• Guillain Barre
• MSA
• Shy Drager syndrome
• PD
• Infections:
  > HIV, Chagas disease, Neurosyphilis
• Drugs:
  > Antihypertensives, TCAs
• Craniopharygnioma