Bedside Approach to Autonomic Disorders A Clinical Tutor

This book is a guide to the everyday clinical management of disorders of the autonomic nervous system, from identification of the key symptoms of autonomic involvement and comprehensive history taking to choice of treatment. The book will assist the reade

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Bedside Approach to Autonomic Disorders

Walter Struhal • Heinz Lahrmann Alessandra Fanciulli • Gregor K. Wenning Editors

Bedside Approach to Autonomic Disorders A Clinical Tutor

Editors Walter Struhal Chair, Department of Neurology Karl Landsteiner University of Health Sciences Site Tulln Tulln Austria Heinz Lahrmann Private Office Vienna Austria

Alessandra Fanciulli Division of Clinical Neurobiology Department of Neurology Innsbruck Medical University Innsbruck Austria Gregor K. Wenning Division of Clinical Neurobiology Department of Neurology Innsbruck Medical University Innsbruck Austria

ISBN 978-3-319-05142-0    ISBN 978-3-319-05143-7 (eBook) DOI 10.1007/978-3-319-05143-7 Library of Congress Control Number: 2017939942 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

1 General Approach to Patients with Autonomic Disorders: “What Is the Autonomic Disease?” – A Basic Tutorial to Autonomic Physiology and Pathophysiology������������������������������������   1 Heinz Lahrmann and Walter Struhal 2 Autonomic History Taking and Key Symptoms: Where Is the Autonomic Disease?����������������������������������������������������������  15 Alessandra Fanciulli, Elisabetta Indelicato, and Gregor K. Wenning 3 The Diagnosis and Management of Cardiovascular Autonomic Dysfunction and Disease������������������������������������������������������  37 Ellen Merete Hagen and Judith Navarro-Otano 4 Sweating Disorders����������������������������������������������������������������������������������  67 Walter Struhal and Heinz Lahrmann 5 Bladder and Sexual Dysfunction�����������