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Doctor insights on: Medicine For Shy Drager Syndrome

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What are the tests for shy-drager syndrome?

What are the tests for shy-drager syndrome?

See below:: Blood pressure (lying and standing); eye exam; nerve & muscle examinatin. There are no specific tests to confirm this disease. A neurologist can make the diagnosis based on history/exam and ruling out other symptoms. Mri of the head, plasma norepinephrine levels and urine catecholamine test may be ordered. ...Read more

Dr. Melissa Nirenberg
26 Doctors shared insights

Shy Drager Syndrome (Definition)

Shy-Drager Syndrome is now called Multiple System Atrophy. Is has many symptoms across body systems, and has many Parkinson's like motor symptoms. It affects both men and women & starts in your 50s or 60s. Prominent symptoms include: slowness of movements, muscle rigidity and poor balance. It is characterized by deposits of a type of protein called alpha-synuclein ...Read more


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Does anyone know what is shy-drager syndrome?

Does anyone know what is shy-drager syndrome?

Aka MSA: Multiple system atrophy (msa)-rare condition causing symptoms to usually men older than 60 similar to Parkinson's disease. Causes widespread damage to nervous system contolling heart rate, blood pressure and sweating. Cause is unknown. Goal of treatment is to control "symptoms.". ...Read more

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What are the symptoms of shy-drager syndrome?

What are the symptoms of shy-drager syndrome?

Shy-Drager: postural hypotension
•orthostatic hypotension
•autonomic failure
•chronic constipation
impotence
•urinary incontinence
•impaired speech
•breathing difficulties
•swallowing difficulties
•inability to sweat. ...Read more

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What is the definition or description of: Shy Drager syndrome?

What is the definition or description of: Shy Drager syndrome?

Similar to Parkinson: Shy-Drager Syndrome is now called Multiple System Atrophy. Is has many symptoms across body systems, and has many Parkinson's like motor symptoms. It affects both men and women & starts in your 50s or 60s. Prominent symptoms include: slowness of movements, muscle rigidity and poor balance. It is characterized by deposits of a type of protein called alpha-synuclein in the nervous system, ...Read more

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What are frey syndrome, horner's syndrome and shy-drager syndrome?

What are frey syndrome, horner's syndrome and shy-drager syndrome?

What do they have in: They all have abnormalities of autonomics and other nervous sytem problems. ...Read more

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Shy drager syndrome treatments?

Shy drager syndrome treatments?

www. Rightdiagnosis.: Antiparkinsonian medication
l-dopa
treatments for orthostatic hypotension:
high-salt diet
high-fluid diet
medications to increase blood pressure
salt-retaining steroids
alpha-adrenergic medications
non-steroidal anti-inflammatory drugs
sympathomimetic amines
sleeping with head raised
feeding tube - if feeding or swallowing difficulties require.
Breathing tube - for breathing difficulty. ...Read more

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What is the treatment for shy-drager syndrome?

What is the treatment for shy-drager syndrome?

See below:: There is no cure for msa, and there is no known way to prevent the disease from getting worse. The goal of treatment is to control symptoms. Anticholinergic medications may be used to reduce early or mild tremors. Levodopa may improve movement and balance. Meds can be used to treat low blood pressure, constipation too. Some need pacemakers for their low heart rate. ...Read more

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Is pots syndrome and neurocardiogenic syncope an early indication of multiple system atrophy or Parkinson's disease?

Is pots syndrome and neurocardiogenic syncope an early indication of multiple system atrophy or Parkinson's disease?

Possible: Pots/ neurocardiogenic syncope is mostly idiopathic but can be a presentation of a systemic disease that is related to the nervous system and the cardiovascular system. ...Read more

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What are the signs of multiple system atrophy?

What are the signs of multiple system atrophy?

MSA: There are three subtypes of MSA. MSA-A (Autonomic Dysfunction), MSA-P (Parkinsonism), MSA-C (Cerebellar Dysfunction). MSA Signs are Cogwheel Rigidity, Bradykinesia (Slowness of Movement), Autonomic Dysfunction (urinary incontinence, Orhtostatic Hypotension, Vertigo, etc.), Dementia, loss of postural reflexes in the first 1-2 years, no or sub therapeutic response to Levodopa & seldomly tremor. ...Read more

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Can multiple system atrophy cause abnormal emg?

Can multiple system atrophy cause abnormal emg?

Yes: Any thing that effects a particular nerve and the muscles it innervates could lead to abnormal EMG ...Read more

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Will it affect a person cognitive function if he has multiple system atrophy? What is his prognosis?

Will it affect a person cognitive function if he has multiple system atrophy? What is his prognosis?

Prognosis is guarded: Multiple system atrophy is difficult to treat. I approach it as I do ms. I recommend vit B12 and Adenosine monophosphate injections weekly, low dose Naltrexone (4.5 mg) every night, phosphatidylserine 300 mg/day, phosphatidylcholine 1, 000 mg/day, acetyl-l-carnintine 1, 500 mg/day, Alpha lipoic acid 600 mg/day, selegeline 5 mg/day in am, 6 mg melatonin at bedtime, dhea 100 mg in am. ...Read more

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My mom died from multiple system atrophy, msa-c. Can it be gentec?

My mom died from multiple system atrophy, msa-c. Can it be gentec?

Depends: The frustrating answer is that it depends and maybe. As science progresses more and more is being discovered about the genetics diseases. Msa-c is a clinical syndrome which will eventually have many different genetic causes. Whether one can be passed on or not will depend on the type of genetic mutation and the type of Mendelian inheritance pattern it creates or whether it is de novo. ...Read more

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Could multiple system atrophy (msa) be caused by candida, or herpes?

Could multiple system atrophy (msa) be caused by candida, or herpes?

No evidence: Multiple system atrophy is a neurodegenerative disease. Sometimes it can present similarly to parkinson disease. Sometimes there can be prominent cerebellar signs. There can often be autonomic nervous system signs--extreme blood pressure changes, urinary issues. There is no evidence that it is caused by any infection. ...Read more

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What are the differences between striatonigral degeneration & multiple system atrophy?

What are the differences between striatonigral degeneration & multiple system atrophy?

MSA and SND: Are rare Parkinson's plus degenerative conditions. The tend not to respond to medications for Parkinson's disease. The differences are subtle but many. I suggest you google "Parkinson's plus" for a good explanation. It would take more than the 400 character limit to scratch the surface. ...Read more

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Hi, I've seen 3 neurologists. Is it possible for all 3 to miss symptoms of multiple system atrophy?

Hi, I've seen 3 neurologists. Is it possible for all 3 to miss symptoms of multiple system atrophy?

Brain fog: Is not a symptom of MSA. Autonomic symptoms like tachycardia tend to be persistent and not sporadic. Paroxysmal confusion and tachycardia might be caused by focal epilepsy. Slow thinking, disequilibrium with eyes closed would suggest chronic B12 deficiency. MSA is predominantly a movement disorder (Parkinson's Plus) ...Read more

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Can you detect multiple system atrophy or parksinsons with a fdg18 pet/ct fusion?

The findings on: Pet/ct can suggest a diagnosis, but these diseases are diagnosed mainly on clinical grounds (signs and symptoms), with imaging having a supporting/clarifying role.

A new functional imaging agent, datscan targets Dopamine receptors and can be helpful in parkinsonism and parkinson-like conditions, but should be performed only in patients where the clinical picture is unclear. ...Read more

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My mother is suffering for multiple system atrophy. Needs ventilator support now. Is this reversible?

Unfortunately not: Multiple system atrophy does not respond well to any medications, and ventilator support can be an ultimate outcome. I know of no cure or effective agent to reverse the disorder. ...Read more

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What do you suggest if my mother is suffering for multiple system atrophy. Needs ventilator support now.?

Sorry: Am sorry that the disease has progressed so far, but MSA is very difficult to treat and no known cure has been found. I suggest ongoing palliative care, and working closely with hospice personnel if needed. ...Read more

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Can multiple system atrophy affect the heart muscle?

Can multiple system atrophy affect the heart muscle?

Unfortunately yes: As MSA progresses, every muscle in the body eventually gets affected by the degeneration of the autonomic nerves & other derangements which cannot be compensated for anymore by the "voluntary" nervous system. I have a patient who is likely going through his last stages & it is a relentless disease process for which he now refuses any & all interventions to help him with breathing or swallowing. ...Read more

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Would an eye exam be abnormal with multiple system atrophy? If so how?

Would an eye exam be abnormal with multiple system atrophy? If so how?

Yes: Measures of HIGHER brain function will be off in a really detailed eye exam if a lot of the higher brain function is broken:
Ability to follow objects rapidly smoothly.
Ability to adjust the eye appropriately when multiple brain inputs occur...moving head, moving body, moving object all in different paths.
http://www. Ncbi. Nlm. Nih. Gov/pubmed/12773891
this isn't the earliest sign and MRI proves it. ...Read more

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What does incidental superficial left ventral pontine tegmentum tiny 3mm t2 hyperintensity on mri? Does it point to multiple system atrophy?

No it does: Not point to mulisyst atrophy and is nonspecific finding in a specific place that is just lighting up but probably of no significance ...Read more

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Can multiple system atrophy cause lightheadedness, tachycardia, shortness of breath, apathy, memory issues...? If not what else? 38 year old female

Can multiple system atrophy cause lightheadedness, tachycardia, shortness of breath, apathy, memory issues...? If not what else? 38 year old female

Anxiety: Yes, it can be the cause since MSA is a degenerative neurologic disorder; therefore it can cause dysregulation of the cardiovascular as well as vestibular systems. However, whether anxiety is cause or consequence of your symptoms cannot be discounted. Please consult your neurologist and mental health providers. ...Read more

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Getting up after prolonged bed rest. Bp drops heart rate shoots up, and feel heavy, weak. Could it be heart failure, or multiple system atrophy?

Getting up after prolonged bed rest. Bp drops heart rate shoots up, and feel heavy, weak. Could it be heart failure, or multiple system atrophy?

Orthostatic BP: This sudden low BP and increased heart rate is what we call Orthostatic Hypotension. It's not uncommon after being in supine position (lying down) for prolonged periods of time. When you get out of bed, let your legs hang down by the bed for several minutes then slowly get out of bed. This should solve your problem. Also check if you are using any OTC medicines that can make your BP go down. ...Read more

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Would Multiple System atrophy cause dizzy, tach up to 180bpm, shaky, memory issues, vision problems, twitching, headaches, high epinephrine...?

Would Multiple System atrophy cause dizzy, tach up to 180bpm, shaky, memory issues, vision problems, twitching, headaches, high epinephrine...?

Never seen 180 BPM: I've treated many a patient with MSA and recently lost a patient who was a good friend of mine to the same diagnosis after his 10 year battle. I've never seen a heart rate of 180 BPM. That's not autonomic dysfunction anymore as much as sinus node problem with the heart itself. MSA will cause more disruption of a dramatic nature with blood pressure but not escalate heart rate to those extremes. ...Read more

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Testing for multiple system atrophy? I know some tests include ttt/sweat test/blood pressure monitoring/qswet and catacholomine testing but what else can be used to test for msa? Any other helpful tests

Testing for multiple system atrophy? I know some tests include ttt/sweat test/blood pressure monitoring/qswet and catacholomine testing but what else can be used to test for msa? Any other helpful tests

Imaging: In addition to the above mentioned tests, cardiovascular imaging including doppler interrogation of the carotids. You may need to nerve conduction and EMG to check for a neuropathy depending on the findings in physical exam. ...Read more

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Are sleep apnea, trouble breathing awake and asleep and GERD part of pure autonomic falure or multiple system atrophy? Thanks.

Are sleep apnea, trouble breathing awake and asleep and GERD part of pure autonomic falure or multiple system atrophy? Thanks.

The diseases: You are referring to are rare whereas the other items not necessarily. Talk to your physician & get answers. ...Read more

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Multiple system atrophy with bradykinesia Treatment? Is this a form of Parkinson's. 100% Viet nam vet. Exposed to agent orange. Neuropathy, 3 tias, Ca

Multiple system atrophy with bradykinesia Treatment? Is this a form of Parkinson's. 100% Viet nam vet. Exposed to agent orange. Neuropathy, 3 tias, Ca

HowAboutANeurologist: First and foremost, thank you for your service. That was a tough time. There is just too little information in your question. Yes, bradykinesia can be a symptom of Parkinson's, which can be a symptom of MSA. There is "suggestive but limited evidence that exposure to Agent Orange and other herbicides used during the Vietnam War is associated with an increased chance of Parkinson's disease."See your doc ...Read more