Merck Manual

Please confirm that you are a health care professional

honeypot link

Autonomic Neuropathies

By

Phillip Low

, MD, College of Medicine, Mayo Clinic

Last full review/revision Apr 2020| Content last modified Apr 2020
Click here for Patient Education

Autonomic neuropathies are peripheral nerve disorders with disproportionate involvement of autonomic fibers.

Autoimmune autonomic neuropathy is an idiopathic disorder that often develops after a viral infection; onset may be subacute.

Autonomic insufficiency is usually a late manifestation in alcoholic neuropathy.

Symptoms and Signs of Autonomic Neuropathies

Diagnosis of Autonomic Neuropathies

  • Clinical evaluation

Autoimmune autonomic neuropathy may be suspected after a viral infection.

Ganglionic anti–acetylcholine receptor antibody A3 is present in about half of patients with autoimmune autonomic neuropathy and is occasionally present in patients with other autonomic neuropathies.

Treatment of Autonomic Neuropathies

  • Treatment of underlying disorders

Underlying disorders are treated.

Autoimmune autonomic neuropathy may respond to immunotherapy; plasma exchange or IV gamma-globulin can be used for more severe cases.

Click here for Patient Education
NOTE: This is the Professional Version. CONSUMERS: Click here for the Consumer Version
Professionals also read

Test your knowledge

Overview of Meningitis
Meningitis is defined as inflammation of the meninges and subarachnoid space and may be classified under several different categories. Of these categories, which of the following types is particularly serious due to the speed of its progression? 
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
 

Also of Interest

 
TOP