계명대학교 의학도서관 Repository

Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology

Metadata Downloads
Author(s)
William P. CheshireRoy FreemanChristopher H. GibbonsPietro CortelliGregor K. WenningMax J. HilzJudith M. SpiesAxel LippPaola SandroniNaoki WadaAkiko ManoHyun Ah KimKurt KimpinskiValeria IodiceJuan IdiáquezPariwat ThaisetthawatkulElizabeth A. CoonPhillip A. Low and Wolfgang Singer
Keimyung Author(s)
Kim, Hyun Ah
Department
Dept. of Neurology (신경과학)
Journal Title
Clinical Neurophysiology
Issued Date
2021
Volume
132
Issue
2
Keyword
Autonomic nervous system diseasesDenervationAutonomicDiabetic autonomic neuropathyValsalva ManeuverTilt table testHypotensionOrthostatic
Abstract
Evaluation of disorders of the autonomic nervous system is both an art and a science, calling upon the physician's most astute clinical skills as well as knowledge of autonomic neurology and physiology. Over the last three decades, the development of noninvasive clinical tests that assess the function of autonomic nerves, the validation and standardization of these tests, and the growth of a large body of literature characterizing test results in patients with autonomic disorders have equipped clinical practice further with a valuable set of objective tools to assist diagnosis and prognosis. This review, based on current evidence, outlines an international expert consensus set of recommendations to guide clinical electrodiagnostic autonomic testing. Grading and localization of autonomic deficits incorporates scores from sympathetic cardiovascular adrenergic, parasympathetic cardiovagal, and sudomotor testing, as no single test alone is sufficient to diagnose the degree or distribution of autonomic failure. The composite autonomic severity score (CASS) is a useful score of autonomic failure that is normalized for age and gender. Valid indications for autonomic testing include generalized autonomic failure, regional or selective system syndromes of autonomic impairment, peripheral autonomic neuropathy and ganglionopathy, small fiber neuropathy, orthostatic hypotension, orthostatic intolerance, syncope, neurodegenerative disorders, autonomic hyperactivity, and anhidrosis.
Keimyung Author(s)(Kor)
김현아
Publisher
School of Medicine (의과대학)
Citation
William P. Cheshire et al. (2021). Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology. Clinical Neurophysiology, 132(2), 666–682. doi: 10.1016/j.clinph.2020.11.024
Type
Article
ISSN
1388-2457
Source
https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S138824572030585X
DOI
10.1016/j.clinph.2020.11.024
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43436
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.