Doctor insights on:
Quantitative Sudomotor Autonomic Reflex Testing
Test: Rheumatologic conditions are truly made by clinical evaluation, as tests often false positives. Hopefully under care of rheumatologist. They have clinical experience to know what's real and what isn't. It takes good clinical history, tests may or may not help, as tests don't make diagnosis, clinical judgement by physician does. What is problem? Lupus?. Confide in physicians clinical judgement not. ...Read moreSee 1 more doctor answer
The autonomic nervous system is part of the peripheral nervous system. It is ‘autonomic’ because it does not require voluntary thought to function. The autonomic nervous system is divided into the sympathetic and parasympathetic nervous systems. The sympathetic system manages “fight or flight” responses and the parasympathetic system acts as a counterpart that manages ...Read more
See below: There are no specific tests for causalgia which is an old term for what is not referred to as complex regional pain syndrome. In causalgia, called crps type one there is usually some associated nerve injury so we may do a test called an emg/ncs. Often we do a test called a 3 phase bone scan but this test is not definitivein all cases.Mostly we rely on our physical examination to make the diagnosis. ...Read more
A nerve disorder: Rsd is a progressive disease characterized by pain, swelling, color and temperature changes in an extremity (usually arm or leg). It is caused by impaired functioning of the autonomic nervous system. Patients can loose function of the affected extremity and it can spread to the unaffected side. Symptoms often manifest after a previous traumatic injury to the area. Treatment is multi-modal. ...Read moreSee 1 more doctor answer
EMG/NCV diagnosed Sensory & Motor Demylinating Neuropathy, can that cause: Bladder Dysfunction/Retention, Autonomic & Vasovagal Dysfunction?
You asked for it: Yes, there is. It's for research. Abs to the mGluR1 subunit of metabotropic Glu receptor 1 have been found in small groups of ataxia pts. They're also detected in nonimmunological neurological diseases eg stroke & trauma but these may be epiphenomena (due to spillage of cell contents outside the blood-brain barrier). If you're concerned, my advice is: Find something else to worry about. ...Read moreSee 1 more doctor answer
Not likely: Multiple sclerosis is a disorder affecting various areas of brain, spinal cord, and eyes, with differing events over time. An isolated gag reflex change is not suggestive of MS, and could well represent biological sensitivity variations. If this is a problem affecting eating or swallowing, might have your doctor evaluate. ...Read more
Now CRPS: Complex regional pain syndrome, formerly rsd, is a pain syndrome, usually occurring in an arm or leg after an injury, but lasting much longer than would be normal for that type of injury. It typically has a component of redness or swelling and is described as burning or aching. There is also no obvious damage to a specific nerve that doctors can find. The cause is not clearly understood. ...Read moreSee 3 more doctor answers
Despite normal tilt table test & neg cortisol stim test, neuromd now ordered catecholamine testing for autonomic dysfuntion d/t my sx.If +, what is tx?
I think u have: Orthostatic hupotension- a drop in blood pressure with changing position from a lying to an upright position. Follow up with them. Get checked for diabetes .Treatment depends on the underlying condition . Avoidance of sudden rising up will minimize the sx. If there's a regular drop in blood pressure, there are meds to sustain normal bp. Pls read link below. ...Read more
Having catecholamine blood testing lying down & standing up.What is this testing for? Autonomic dysfunction?
Yes...: ...And also can be testing for hypoadrenlism or cathecolamine excess. I assume this is for low blood pressure or possibly alternating with high blood pressure. It looks like you are on rheumatologic meds that are typically used for rheumatoid arthritis. This sounds appropriate of you are having symptoms. ...Read more
Extensor respons: The presence of a Babinski sign suggests an upper motor neuron lesion, although in infants the presence of the dorsiflexion of the great toe with plantar stimulation can be normal. Simplifying, it's thought by some it may be related to the difference between the anatomical flexors behaving differently, more as extensors. Medicine Decoded has a reasonable explanation of this. ...Read more
?+oligoclonal in csf, + opt neuritis,vep abn,EMG Abn, ocular CT abn,neuro cog test abn. No lesions. ? MS. +s/s- n/t legs,balance,speech.ms imitat.Neg
Clarification: You have multiple issues, and most would strongly implicate MS. But if an MRI of both brain and spinal cord is normal, you do NOT have MS. However, several other possibilities exist, and you need to clarify your diagnosis. May help to obtain another opinion. ...Read moreSee 2 more doctor answers
4/5 results- test neg scl70, double stranded dna, ssa, ssb, smith rmp sederate, esr&crp norm, electrolyte/white/red blood norm.Again + ANA 1:160 centromer. What additional test to exclude scleroderma/crest?
2 min. Upgaze test positive, pupillary function normal. Eom's normal. No diplopia. Tft's (full panel), achase ab, achr-ab, anti-musk ab, all neg.
Impressions: Although so far, this does not seem to prove myasthenia, would wonder about Tensilon test or single fiber EMG (per Dr Nahm), but have seen ptosis fatigue and have positive Tensilon response even in absence of true neuromuscular junctional process. Might also consider myopathic presentation, such as later presentation of a dystrophic disorder. ...Read moreSee 1 more doctor answer
Is there a test to detect autoantibodies against peripheral glutamate receptors (glutamate receptors in peripheral tissues)...?
The autonomic nervous system (ans or visceral nervous system or involuntary nervous system) is the part of the peripheral nervous system that acts as a control system functioning largely below the level of consciousness, and controls visceral functions, such as heart rate, digestion, respiratory rate, salivation, perspiration, pupillary dilation, ...Read more