Abstract
Various diagnostic tests are available to demonstrate autonomic failure in extrapyramidal
disease. Autonomic function tests can identify parasympathetic and sympathetic dysfunction.
While specialized tests are only available in autonomic labs, routine tests such as
24 h ambulatory blood pressure measurements can be broadly used in clinical practice
eg. as screening tests. In this review, we briefly introduce functional cardiovascular
autonomic testing and propose a workup plan for patients with extrapyramidal disease.
In all patients with extrapyramidal disease, screening for autonomic dysfunction should
be performed. In the case of pathological findings, detailed autonomic testing should
be considered with repeated measurements at follow up visits.
Keywords
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Article info
Publication history
Published online: August 12, 2011
Accepted:
July 19,
2011
Received in revised form:
June 28,
2011
Received:
March 9,
2011
Identification
Copyright
© 2011 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
