Zusammenfassung
Bei vielen Patienten mit einen idiopathischen Parkinson-Syndrom treten im Krankheitsverlauf
vegetative Symptome auf. Sie sind gegenüber autonomer Regulationsstörungen bei der
Multisystematrophie meist weniger stark ausgeprägt und werden häufig erst im längeren
Verlauf symptomatisch. Am ausgeprägtesten zeigen sich die Symptome im kardiovaskulären,
gastrointestinalen und urogenitalen Bereich. Durch adäquate Diagnostik und Therapie
lässt sich ein erheblicher Nutzen für die Patienten erzielen. Ein interdisziplinäres
Vorgehen erweist sich in vielen Fällen als vorteilhaft.
Autonomic Dysregulation in Patients with Idopathic Parkinson's Disease
Most patients with Parkinson's disease experience autonomic dysfunction at some point
of their disease course. In contrast to autonomic dysregulation in multisystem atrophy,
they are less severe and they frequently cause troublesome symptoms only in advanced
stages of the disease. Cardiovascular, gastrointestinal and urogenital autonomic dysfunction
is predominant. Appropriate diagnosis and treatment can greatly benefit the patient.
An interdisciplinary approach is preferable in most cases.
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Prof. Dr. med. Wolfgang H. Jost
Fachbereich Neurologie und Klinische Neurophysiologie
Deutsche Klinik für Diagnostik
Aukammallee 33
65191 Wiesbaden
Email: neuro.jost@dkd-wiesbaden.de
