title: [Acute panautonomic neuropathy: a report of 4 cases].
abstract: OBJECTIVE
  To explore the clinical manifestations, diagnosis, treatment and prognosis of acute panautonomic neuropathy (APN).
  
  
  METHODS
  We reviewed the history, clinical findings, electrophysiological characteristics, laboratory features of CSF and treatment of 4 patients with APN.
  
  
  RESULTS
  All these patients showed acute onset with apparent involvement of the autonomic nervous system. The clinical features of autonomic involvement included fixed dilated pupils, abdominal pain, diarrhea, and anhidrosis. Electromyography showed evidence of peripheral neuropathy. Early treatment with corticosteroid and intravenous immunoglobulins resulted in improved prognosis of the patients.
  
  
  CONCLUSIONS
  APN is a rare autonomic nervous system disorder, and understanding of the clinical features may help in early diagnosis and treatment of the patients.
authors.affiliation: Department of Neurology, PLA General Hospital, Beijing 100853, China.
authors.forename: Fang
authors.initials: F
authors.lastname: Cui
authors.forename: Xu-sheng
authors.initials: XS
authors.lastname: Huang
authors.forename: Zhi-bin
authors.initials: ZB
authors.lastname: Zhou
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones; D016756:Immunoglobulins, Intravenous