Shinotoh H, Hattori T
Department of Neurology, Chiba University School of Medicine.
Nihon Rinsho. 1997 Jan;55(1):131-4.
Shy-Drager syndrome (SDS) is a subtype of multiple system atrophy (MSA) with the clinical predominance of autonomic failure. The differential diagnosis between SDS and Parkinson's disease (PD) can sometimes be difficult clinically. The features favoring a clinical diagnosis of SDS are marked orthostatic hypotension, erectile impotence in males, urinary symptoms, nocturnal stridor, rigidity and akinesia without tremors, levodopa unresponsiveness, cerebellar signs, cerebellar atrophy on brain CT scans and MRI.
夏伊-德雷格综合征（SDS）是多系统萎缩（MSA）的一种亚型，临床上以自主神经功能衰竭为主。SDS与帕金森病（PD）之间的鉴别诊断有时在临床上会很困难。支持SDS临床诊断的特征包括明显的直立性低血压、男性勃起功能障碍、泌尿系统症状、夜间喘鸣、无震颤的僵硬和运动不能、左旋多巴无反应、小脑体征、脑部CT扫描和MRI显示小脑萎缩。
