Povoas Barsottini 2 , Henrique Ballalai Ferraz 3. Multiple system atrophy speech assessment: study of five cases ABSTRACT - Multiple system atrophy MSA is characterized by parkinsonian, cerebellar and pyramidal features along with autonomic dysfunction in different combinations. Onset of dysarthria during the first year of the manifestation of a parkinsonian syndrome suggests the diagnosis of MSA. The aim of this study was to characterize the voice and the speech of patients with MSA.

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Shy-Drager syndrome a case report with polysomnography. Aloe; P. Marchiori; R. The authors report a case of Shy-Drager syndrome in a 53 year-old male patient. Autonomic failure was made evident by physical examiration as well as laboratory tests.

A sleep recording showed decreased percentage of REM sleep and apneas of the central type. The possible mechanisms for this sleep disorder are discussed. Full text available only in PDF format. Bannister R - Degeneration of the autonomic nervous system. Lancet , Elsevier, Amsterdam, , pg. Blomqvist CG - Orthostatic hypotension. Hypertension , Acta Neurol Napoli , Brodal B - Neurological Anatomy. Oxford Univ Press, New York, , pg Rev Clin Esp , Clin Ter , Cleveland Clin Q , Ann Cardiol Angiol , Ann Otol Laryngol , Am J Med , Neurology , Kopin IJ.

Folinsky RJ. Oliver JA, Oddershede IR, Ebert MH - Urynary catecholamine metabolites distinguish different types of sympathetic neuronal dysfunction patients with orthostatic hypotension. J Clin Endocr Metab , Arch Intern Med , Min Med , J Neurosurg , Schatz IJ - Current management concepts in orthostatic hypotension.

Functional and neurogenic causes. Clinical diagnosis, testing, and treatment. J Am Med Assoc , Arch Neurol , Brain Dev , Thomas JE, Schrirger A - Idiopathic orthostatic hipotension: a study of its natural history in 57 neurologically affected patients.

Thomas J. G, Schirger A. Mayo Clin Proc Thulesius O - Pathophysiological classification and diagnosis of orthostatic hypotension. Cardiology 61 suppl. Bull J Hopk Hosp , New Engl J Med , All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal. Vergueiro, sl. How to cite this article.


Atrofia de mĂșltiplos sistemas

For patients afflicted with this condition, rigidity and bradykinesia are the primary extrapyramidal symptoms which are present. The "plus" refers to autonomic nervous system dysfunction which leads to much of the disability seen in this disorder. Syncope, urinary incontinence, impotence, constipation, fecal incontinence, cardiac arrythmias as well as other symptoms occur as a result of widespread pathological changes in multiple areas of the central and autonomic nervous system. The goal of this paper is to provide an overview of the pathophysiology, signs and symptoms of and treatment for SDS. Nursing Care of the patient and family coping with Shy Drager Syndrome and the challenges it presents to the Movement Disorder Nurse are discussed. A coordinate, multidisciplinary team approach is suggested.


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Shy Drager Syndrome


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