Acute Pandysautonomia with Somatic Nerve Involvement

J Korean Neurol Assoc > Volume 12(4); 1994 > Article

Journal of the Korean Neurological Association 1994;12(4): 781-785.

체신경이 침범된 급성 범발성 자율 신경병

김돈수, 손영호,허균,선우일남

연세대학교 신경과. 아주대학교 신경과.

Acute Pandysautonomia with Somatic Nerve Involvement

Don Soo Kim, M.D., Young Ho Sohn, M.D., Kyoon Huh, M.D., Il Nam Sunwoo, M.D.

Department of Neurology, College of Medicine Aju University, Department of Neurology, Severance Hospital, Yonsei University

Abstract

Acute panautonomic neuropathy characterized by selective involvement of sympathetic and parasympathetic nerves with complete or relative sparing of somatic motor and sensory functions was first described by Young et al in 1969. We experienced acute pandysautonomia with peripheral neuropathy. The serial electrophysiologic studies revealed progressive periphear axonal polyneuropathy. Autonomic function test suggested dysautonomia of selective postganglionic lesion in 1 case and pandysautonomia in 3 cases. Our four cases wree Acute panautonomic neuropathies which simultaneously developed sensorimotor polyneuropathy. All Laps were normal except elevated CSF protein without pleocytosis. Recovery was poor in general, but 34-years-old female patient was markedly improved after plasmapheresis. Therefore we recommend immunologic treatment such as plasmapheresis or pulse therapy in early stage of progressive pandysautonomia.