McLeod J G
Department of Medicine, University of Sydney, NSW, Australia.
Muscle Nerve. 1992 Jan;15(1):3-13. doi: 10.1002/mus.880150103.
The autonomic nervous system is affected in most peripheral neuropathies, but only in a small number of conditions, such as diabetes, amyloidosis, Guillain-Barré syndrome, porphyria, and familiar dysautonomia, is autonomic dysfunction of clinical importance. The pathological changes in the peripheral autonomic nervous system are similar to those in the peripheral somatic nerves. Autonomic disturbances are most likely to occur when there is acute demyelination or damage to small myelinated and unmyelinated fibers. Autonomic investigations should include tests of both sympathetic and parasympathetic function. Treatment consists of management of the underlying cause of peripheral neuropathy, physical and pharmacological measures.
大多数周围神经病变都会累及自主神经系统，但只有在少数情况下，如糖尿病、淀粉样变性、吉兰-巴雷综合征、卟啉病和家族性自主神经功能障碍，自主神经功能障碍才具有临床重要性。周围自主神经系统的病理变化与周围躯体神经相似。当发生急性脱髓鞘或小的有髓和无髓纤维受损时，最容易出现自主神经功能障碍。自主神经检查应包括交感神经和副交感神经功能测试。治疗包括处理周围神经病变的潜在病因、物理和药物措施。
