Pure Autonomic Failure

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Pure autonomic failure (PAF) is a rare sporadic neurodegenerative autonomic disorder characterized by slowly progressive pan autonomic failure without other features of neurologic dysfunctions. The main clinical symptoms result from neurogenic orthostatic hypotension and urinary and gastrointestinal autonomic dysfunctions. Autonomic failure in PAF is caused by neuronal degeneration of pre- and postganglionic sympathetic and parasympathetic neurons in the thoracic spinal cord and paravertebral autonomic ganglia. The presence of Lewy bodies and α-synuclein deposits in these neural structures suggests that PAF is one of Lewy body synucleinopathies, examples of which include multiple system atrophy, Parkinson disease, and Lewy body disease. There is currently no specific treatment to stop progression in PAF. Management of autonomic symptoms is the mainstay of treatment and includes management of orthostatic hypotension and supine hypertension. The prognosis for survival of PAF is better than for the other synucleinopathies.

Original languageEnglish (US)
Article number74
JournalCurrent neurology and neuroscience reports
Volume16
Issue number8
DOIs
StatePublished - Aug 1 2016

Fingerprint

Pure Autonomic Failure
Lewy Bodies
Orthostatic Hypotension
Shy-Drager Syndrome
Synucleins
Autonomic Ganglia
Multiple System Atrophy
Lewy Body Disease
Neurologic Manifestations
Neurodegenerative Diseases
Parkinson Disease
Spinal Cord
Thorax
Hypertension
Neurons

Keywords

  • Lewy body
  • Neurogenic orthostatic hypotension
  • Pure autonomic failure
  • Synucleinopathy
  • α-synuclein

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Pure Autonomic Failure. / Thaisetthawatkul, Pariwat.

In: Current neurology and neuroscience reports, Vol. 16, No. 8, 74, 01.08.2016.

Research output: Contribution to journalReview article

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