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Autonomic neuropathy

MedGen UID:
82621
•Concept ID:
C0259749
•
Disease or Syndrome
Synonyms: autonomic nervous system peripheral neuropathy; Autonomic Neuropathy; autonomic neuropathy; autonomic peripheral neuropathy; peripheral neuropathy of autonomic nervous system
SNOMED CT: Autonomic neuropathy (277879009)
 
Monarch Initiative: MONDO:0001300

Definition

An inherited or acquired peripheral neuropathy affecting the autonomic nervous system. It results in disruption of the involuntary body functions. Inherited causes include Fabry disease and porphyrias. Acquired causes include diabetes, uremia, hepatic disorders, vitamin deficiencies, toxins, and drug toxicities. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAutonomic neuropathy

Professional guidelines

PubMed

Dysautonomia: Diagnosis and Management.
Hovaguimian A
Neurol Clin 2023 Feb;41(1):193-213. Epub 2022 Oct 31 doi: 10.1016/j.ncl.2022.08.002. PMID: 36400555
Management of diabetic neuropathy.
Cernea S, Raz I
Metabolism 2021 Oct;123:154867. Epub 2021 Aug 17 doi: 10.1016/j.metabol.2021.154867. PMID: 34411554
Painful and non-painful diabetic neuropathy, diagnostic challenges and implications for future management.
Jensen TS, Karlsson P, Gylfadottir SS, Andersen ST, Bennett DL, Tankisi H, Finnerup NB, Terkelsen AJ, Khan K, Themistocleous AC, Kristensen AG, Itani M, Sindrup SH, Andersen H, Charles M, Feldman EL, Callaghan BC
Brain 2021 Jul 28;144(6):1632-1645. doi: 10.1093/brain/awab079. PMID: 33711103Free PMC Article

Recent clinical studies

Etiology

Neuropathy in prediabetes.
Ziegler D, Herder C, Papanas N
Diabetes Metab Res Rev 2023 Nov;39(8):e3693. Epub 2023 Jul 20 doi: 10.1002/dmrr.3693. PMID: 37470302
Dysautonomia: Diagnosis and Management.
Hovaguimian A
Neurol Clin 2023 Feb;41(1):193-213. Epub 2022 Oct 31 doi: 10.1016/j.ncl.2022.08.002. PMID: 36400555
Management of diabetic neuropathy.
Cernea S, Raz I
Metabolism 2021 Oct;123:154867. Epub 2021 Aug 17 doi: 10.1016/j.metabol.2021.154867. PMID: 34411554
Cardiac Autonomic Neuropathy in Diabetes Mellitus.
Agashe S, Petak S
Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):251-256. doi: 10.14797/mdcj-14-4-251. PMID: 30788010Free PMC Article
Diabetic neuropathy.
Charnogursky G, Lee H, Lopez N
Handb Clin Neurol 2014;120:773-85. doi: 10.1016/B978-0-7020-4087-0.00051-6. PMID: 24365351

Diagnosis

Neuropathy in prediabetes.
Ziegler D, Herder C, Papanas N
Diabetes Metab Res Rev 2023 Nov;39(8):e3693. Epub 2023 Jul 20 doi: 10.1002/dmrr.3693. PMID: 37470302
Dysautonomia: Diagnosis and Management.
Hovaguimian A
Neurol Clin 2023 Feb;41(1):193-213. Epub 2022 Oct 31 doi: 10.1016/j.ncl.2022.08.002. PMID: 36400555
Porphyric neuropathy.
Gandhi Mehta RK, Caress JB, Rudnick SR, Bonkovsky HL
Muscle Nerve 2021 Aug;64(2):140-152. Epub 2021 Mar 31 doi: 10.1002/mus.27232. PMID: 33786855
Diabetic neuropathies.
Patel K, Horak H, Tiryaki E
Muscle Nerve 2021 Jan;63(1):22-30. Epub 2020 Jul 28 doi: 10.1002/mus.27014. PMID: 32589300
Cardiac Autonomic Neuropathy in Diabetes Mellitus.
Agashe S, Petak S
Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):251-256. doi: 10.14797/mdcj-14-4-251. PMID: 30788010Free PMC Article

Therapy

Incretins and microvascular complications of diabetes: neuropathy, nephropathy, retinopathy and microangiopathy.
Goldney J, Sargeant JA, Davies MJ
Diabetologia 2023 Oct;66(10):1832-1845. Epub 2023 Aug 19 doi: 10.1007/s00125-023-05988-3. PMID: 37597048Free PMC Article
Management of diabetic neuropathy.
Cernea S, Raz I
Metabolism 2021 Oct;123:154867. Epub 2021 Aug 17 doi: 10.1016/j.metabol.2021.154867. PMID: 34411554
Autonomic neuropathies.
Kaur D, Tiwana H, Stino A, Sandroni P
Muscle Nerve 2021 Jan;63(1):10-21. Epub 2020 Sep 14 doi: 10.1002/mus.27048. PMID: 32926436
Cardiac Autonomic Neuropathy in Diabetes Mellitus.
Agashe S, Petak S
Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):251-256. doi: 10.14797/mdcj-14-4-251. PMID: 30788010Free PMC Article
Efficacy of α-lipoic acid in diabetic neuropathy.
Papanas N, Ziegler D
Expert Opin Pharmacother 2014 Dec;15(18):2721-31. Epub 2014 Nov 10 doi: 10.1517/14656566.2014.972935. PMID: 25381809

Prognosis

Management of diabetic neuropathy.
Cernea S, Raz I
Metabolism 2021 Oct;123:154867. Epub 2021 Aug 17 doi: 10.1016/j.metabol.2021.154867. PMID: 34411554
Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial.
Didangelos T, Karlafti E, Kotzakioulafi E, Margariti E, Giannoulaki P, Batanis G, Tesfaye S, Kantartzis K
Nutrients 2021 Jan 27;13(2) doi: 10.3390/nu13020395. PMID: 33513879Free PMC Article
Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology.
Cheshire WP, Freeman R, Gibbons CH, Cortelli P, Wenning GK, Hilz MJ, Spies JM, Lipp A, Sandroni P, Wada N, Mano A, Ah Kim H, Kimpinski K, Iodice V, Idiáquez J, Thaisetthawatkul P, Coon EA, Low PA, Singer W
Clin Neurophysiol 2021 Feb;132(2):666-682. Epub 2020 Dec 22 doi: 10.1016/j.clinph.2020.11.024. PMID: 33419664
Cardiac Autonomic Neuropathy in Diabetes Mellitus.
Agashe S, Petak S
Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):251-256. doi: 10.14797/mdcj-14-4-251. PMID: 30788010Free PMC Article
Acute myocardial infarction in the diabetic patient: pathophysiology, clinical course and prognosis.
Jacoby RM, Nesto RW
J Am Coll Cardiol 1992 Sep;20(3):736-44. doi: 10.1016/0735-1097(92)90033-j. PMID: 1512357

Clinical prediction guides

Neuropathy in prediabetes.
Ziegler D, Herder C, Papanas N
Diabetes Metab Res Rev 2023 Nov;39(8):e3693. Epub 2023 Jul 20 doi: 10.1002/dmrr.3693. PMID: 37470302
Dysautonomia associated with immune checkpoint inhibitors.
Tezuka T, Okuzumi S, Nakashima C, Ide T, Imai S, Mitsuboshi S, Kuwahara Y, Takizawa T, Seki M, Minematsu N, Aragane N, Nakahara J, Hori S, Nakane S, Suzuki S
J Neurol 2023 Jul;270(7):3413-3423. Epub 2023 Mar 20 doi: 10.1007/s00415-023-11667-5. PMID: 36939931
Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology.
Cheshire WP, Freeman R, Gibbons CH, Cortelli P, Wenning GK, Hilz MJ, Spies JM, Lipp A, Sandroni P, Wada N, Mano A, Ah Kim H, Kimpinski K, Iodice V, Idiáquez J, Thaisetthawatkul P, Coon EA, Low PA, Singer W
Clin Neurophysiol 2021 Feb;132(2):666-682. Epub 2020 Dec 22 doi: 10.1016/j.clinph.2020.11.024. PMID: 33419664
Cardiac Autonomic Neuropathy in Diabetes Mellitus.
Agashe S, Petak S
Methodist Debakey Cardiovasc J 2018 Oct-Dec;14(4):251-256. doi: 10.14797/mdcj-14-4-251. PMID: 30788010Free PMC Article
Diabetic autonomic neuropathy.
Vinik AI, Erbas T
Handb Clin Neurol 2013;117:279-94. doi: 10.1016/B978-0-444-53491-0.00022-5. PMID: 24095132

Recent systematic reviews

Cardiac autonomic neuropathy and risk of cardiovascular disease and mortality in type 1 and type 2 diabetes: a meta-analysis.
Chowdhury M, Nevitt S, Eleftheriadou A, Kanagala P, Esa H, Cuthbertson DJ, Tahrani A, Alam U
BMJ Open Diabetes Res Care 2021 Dec;9(2) doi: 10.1136/bmjdrc-2021-002480. PMID: 34969689Free PMC Article
Large fibre, small fibre and autonomic neuropathy in adolescents with type 1 diabetes: A systematic review.
Rasmussen VF, Jensen TS, Tankisi H, Karlsson P, Vestergaard ET, Kristensen K, Nyengaard JR, Terkelsen AJ
J Diabetes Complications 2021 Nov;35(11):108027. Epub 2021 Aug 18 doi: 10.1016/j.jdiacomp.2021.108027. PMID: 34429229
Effect of exercise training on heart rate variability in type 2 diabetes mellitus patients: A systematic review and meta-analysis.
Picard M, Tauveron I, Magdasy S, Benichou T, Bagheri R, Ugbolue UC, Navel V, Dutheil F
PLoS One 2021;16(5):e0251863. Epub 2021 May 17 doi: 10.1371/journal.pone.0251863. PMID: 33999947Free PMC Article
Physical activity and dietary interventions in diabetic neuropathy: a systematic review.
Zilliox LA, Russell JW
Clin Auton Res 2019 Aug;29(4):443-455. Epub 2019 May 10 doi: 10.1007/s10286-019-00607-x. PMID: 31076938Free PMC Article
Heart rate variability in type 2 diabetes mellitus: A systematic review and meta-analysis.
Benichou T, Pereira B, Mermillod M, Tauveron I, Pfabigan D, Maqdasy S, Dutheil F
PLoS One 2018;13(4):e0195166. Epub 2018 Apr 2 doi: 10.1371/journal.pone.0195166. PMID: 29608603Free PMC Article

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