I drank too much and now I can't walk: a case of alcohol-induced dysautonomia

被引:2
作者
Assaker, Richard [1 ]
El Hasbani, Georges [2 ]
Antezana, Arturo Alvarez [3 ]
Gamarra, Jose Vargas [1 ]
Amaya-Suarez, Jose [3 ]
Bertely, Christopher [3 ]
Suleman, Natasha [3 ]
机构
[1] St Vincents Med Ctr, Bridgeport, CT USA
[2] Amer Univ, Beirut Med Ctr, Beirut, Lebanon
[3] Lincoln Med & Mental Hlth Ctr, Bronx, NY 10451 USA
关键词
dysautonomia; neuropathy; alcohol; AUTONOMIC DYSFUNCTION; NEUROPATHY;
D O I
10.1093/omcr/omab072
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dysautonomia is a dysfunction of the autonomic nervous system, which mediates both sympathetic and parasympathetic functions of the human body. Alcohol has been established to affect the autonomic function through liver injury and accumulation of vasodilators. Alcohol can induce peripheral neurological diseases as well. This case report describes a patient who had a chronic history of alcoholism and uncontrolled diabetes mellitus presenting for orthostatic hypotension and peripheral neuropathy without underlying liver disease or other endocrinopathies. Although diabetes mellitus was controlled pharmacologically and risk factors for orthostatic hypotension were managed conservatively, his symptoms did not improve which indicated an alcohol-related autonomic dysfunction, shedding light on one of long-term complications of alcoholism.
引用
收藏
页码:313 / 315
页数:3
相关论文
共 10 条
[1]   ALCOHOLIC NEUROPATHY - CLINICAL, ELECTROPHYSIOLOGICAL, AND BIOPSY FINDINGS [J].
BEHSE, F ;
BUCHTHAL, F .
ANNALS OF NEUROLOGY, 1977, 2 (02) :95-110
[2]   THE CENTRAL AUTONOMIC NETWORK - FUNCTIONAL-ORGANIZATION, DYSFUNCTION, AND PERSPECTIVE [J].
BENARROCH, EE .
MAYO CLINIC PROCEEDINGS, 1993, 68 (10) :988-1001
[3]   Autonomic dysfunction in chronic liver disease [J].
Frith, James ;
Newton, Julia L. .
LIVER INTERNATIONAL, 2009, 29 (04) :483-489
[4]   ELECTROPHYSIOLOGIC PROPERTIES OF ALCOHOL IN MAN [J].
GOULD, L ;
REDDY, CVR ;
BECKER, W ;
OH, KC ;
KIM, SG .
JOURNAL OF ELECTROCARDIOLOGY, 1978, 11 (03) :219-226
[5]   Alcoholic neuropathy is clinicopathologically distinct from thiamine-deficiency neuropathy [J].
Koike, H ;
Iijima, M ;
Sugiura, M ;
Mori, K ;
Hattori, N ;
Ito, H ;
Hirayama, M ;
Sobue, G .
ANNALS OF NEUROLOGY, 2003, 54 (01) :19-29
[6]  
MATIKAINEN E, 1986, ALCOHOL ALCOHOLISM, V21, P69
[7]   ALCOHOL-RELATED PERIPHERAL NEUROPATHY: NUTRITIONAL, TOXIC, OR BOTH? [J].
Mellion, Michelle ;
Gilchrist, James M. ;
de la Monte, Suzanne .
MUSCLE & NERVE, 2011, 43 (03) :309-316
[8]   AUTONOMIC AND PERIPHERAL NEUROPATHIES IN PATIENTS WITH CHRONIC-ALCOHOLISM - A DOSE-RELATED TOXIC EFFECT OF ALCOHOL [J].
MONFORTE, R ;
ESTRUCH, R ;
VALLSSOLE, J ;
NICOLAS, J ;
VILLALTA, J ;
URBANOMARQUEZ, A .
ARCHIVES OF NEUROLOGY, 1995, 52 (01) :45-51
[9]   Treatment of alcoholic polyneuropathy with vitamin B complex: A randomised controlled trial [J].
Peters, T. J. ;
Kotowicz, J. ;
Nyka, W. ;
Kozubski, W. ;
Kuznetsov, V. ;
Vanderbist, F. ;
De Niet, S. ;
Marcereuil, D. ;
Coffiner, M. .
ALCOHOL AND ALCOHOLISM, 2006, 41 (06) :636-642
[10]   Small fiber neuropathy: A burning problem [J].
Tavee, Jinny ;
Zhou, Lan .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 2009, 76 (05) :297-305