title: Treatment of dysautonomia in extrapyramidal disorders.
abstract: Although extrapyramidal diseases are commonly thought to solely affect the (extrapyramidal) motor system, non-motor symptoms such as behavioural abnormalities, dysautonomia, sleep disturbances and sensory dysfunctions are also frequently observed. Autonomic dysfunction is an important clinical component of extrapyramidal disease, but it is often not formally assessed, and thus frequently misdiagnosed. Symptoms of autonomic dysfunction can impact more on quality of life than motor symptoms. Appropriate symptom-oriented diagnosis and symptomatic treatment as part of an interdisciplinary approach can greatly benefit the patient. This review elaborates a limited overview on the treatment of cardiovascular, gastrointestinal, urogenital and sudomotor autonomic dysfunction in various extrapyramidal syndromes.
authors.affiliation: Autonomic and Neuroendocrinological Laboratory, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology, Fetscherstraße 74, 01307 Dresden, Germany. Tjalf.Ziemssen@uniklinikum-dresden.de
authors.forename: Tjalf
authors.initials: T
authors.lastname: Ziemssen
authors.forename: Gerd
authors.initials: G
authors.lastname: Fuchs
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Greulich
authors.forename: Heinz
authors.initials: H
authors.lastname: Reichmann
authors.forename: Michael
authors.initials: M
authors.lastname: Schwarz
authors.forename: Birgit
authors.initials: B
authors.lastname: Herting
mesh_terms: D001341:Autonomic Nervous System / Q000187:drug effects / Q000503:physiopathology*; D006801:Humans; D010300:Parkinson Disease / Q000150:complications / Q000503:physiopathology*; D054969:Primary Dysautonomias / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*