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Cardiovascular autonomic testing in extrapyramidal disorders

  • Tjalf Ziemssen
    Correspondence
    Corresponding author at: Autonomes und neuroendokrinologisches Funktionslabor, Klinik und Poliklinik für Neurologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, D-01307 Dresden, Germany. Tel.: +49 351 458 3859; fax: +49 351 458 5873.
    Affiliations
    ANF-lab, Neurological University Clinic, Dresden, Germany

    Neurological University Clinic, Dresden, Germany
    Search for articles by this author
  • Heinz Reichmann
    Affiliations
    Neurological University Clinic, Dresden, Germany
    Search for articles by this author
Published:August 12, 2011DOI:https://doi.org/10.1016/j.jns.2011.07.032

      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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