Neuropathy - autonomic
Symptoms vary depending on the nerves affected. They usually develop gradually over years. Symptoms may include:
Heart and lungs
The doctor will perform a physical exam. A neurological exam may show evidence of injury to other nerves. However, it is very difficult to directly test for autonomic nerve damage.
Signs of autonomic neuropathy include:
Other signs and symptoms that occasionally suggest a problem in the function of the autonomic nervous system include:
Special measurements of sweating and heart rate are called "autonomic testing" and can assist in diagnosis and treatment.
Other tests include:
Other tests for autonomic neuropathy are based on the suspected cause of the disorder, as suggested by the history, symptoms, and the way symptoms developed.
Shy ME. Peripheral neuropathies. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 446.
In the clinic. Type 2 diabetes. Ann Intern Med. 2007 Jan 2;146(1):ITC1-15.
Benarroch E, Freeman R, Kaufman H. Autonomic nervous system. In: Goetz CG, eds. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 21.
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