Differential Recovery in Cardiac and Vasomotor Sympathetic Functional Markers in a Patient with Acute Autonomic Sensory and Motor Neuropathy

Ken Ohyama; Keizo Yasui; Yasuhiro Hasegawa; Saori Morozumi; Haruki Koike; Gen Sobue

doi:10.2169/internalmedicine.52.8787

CASE REPORTS

Differential Recovery in Cardiac and Vasomotor Sympathetic Functional Markers in a Patient with Acute Autonomic Sensory and Motor Neuropathy

Ken Ohyama, Keizo Yasui, Yasuhiro Hasegawa, Saori Morozumi, Haruki Koike, Gen Sobue

著者情報

キーワード: acute autonomic sensory and motor neuropathy, ¹²³I-MIBG myocardial scintigraphy, denervation hypersensitivity

ジャーナルオープンアクセス

2013 年 52 巻 4 号 p. 497-502

DOI https://doi.org/10.2169/internalmedicine.52.8787

詳細

抄録

Acute autonomic sensory and motor neuropathy (AASMN) is characterized by prominent dysautonomia with somatic sensory and motor impartment. Prominent dysautonomia is observed during the early phase of AASMN. We herein describe a case of AASMN that involved prolonged autonomic failure and disturbance of sensation despite a rapid recovery from motor weakness. The early and delayed heart-to-mediastinum ratios on ¹²³I-meta-iodobenzylguanidine myocardial scintigraphy were decreased and improved within seven months. However, orthostatic hypotension was prolonged. These results suggest a differential improvement in the cardiac and vasomotor sympathetic functions.

責任著者(Corresponding author)

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