title: Differential recovery in cardiac and vasomotor sympathetic functional markers in a patient with acute autonomic sensory and motor neuropathy.
abstract: 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 (123)I-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.
authors: Department of Neurology, Nagoya Daini Red Cross Hospital, Japan. kenohyama@med.nagoya-u.ac.jp
authors: Ken
authors: K
authors: Ohyama
authors: Keizo
authors: K
authors: Yasui
authors: Yasuhiro
authors: Y
authors: Hasegawa
authors: Saori
authors: S
authors: Morozumi
authors: Haruki
authors: H
authors: Koike
authors: Gen
authors: G
authors: Sobue
mesh_terms: D019797:3-Iodobenzylguanidine; D000208:Acute Disease; D000328:Adult; D001342:Autonomic Nervous System Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D006321:Heart / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D014666:Vasomotor System / Q000000981:diagnostic imaging* / Q000503:physiopathology*
chemical_list: D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals; D019797:3-Iodobenzylguanidine