Atrophy multiple of the system with the autonomic
lack, also call Shy-Drager-Drager syndrome, is a progressive disorder
of the central and autonomic nervous systems. The disorder is
characterized by the postural hypotension -- an excessive drop in the
arterial pressure that causes to vertigos or momentary blackouts on
being unemployed or to get up itself. There are 3 types of
Ti'mido-Drager syndrome: Parkinsonian-type that can include
symptoms of the disease of Parkinson such as slow movement, stiff
muscles, and smooth tremors; cerebeloso-type that can include
problems such as loss of balance and the tendency to fall; and
combination-type that can include symptoms of both types 1 and 2.
The symptoms of Parkinsonian and the symptoms of the autonomic
disfunción such as constipation and sexual impotence in men
predominate early in the course of the disease. The constipation
can be implacable and it last to handle in some patients.
Ti'mido-Drager can be difficult to diagnose in the first times;
nevertheless, within a year of the beginning most of the
patients they develop the postural hypotension. It stops most of
patients, the arterial pressure is unstable -- often fluctuating
upwards and downwards -- and causes severe headaches. Other
symptoms can develop, for example the generalized weakness, the double
vision and/or other disturbances of the vision, the sensorial
weakening of the speech, changes, the difficulties with the breathing
and also swallow, the irregularities in blow of the heart, incapacity
to sweat, and diarrea.
Ti'mido-Drager is often totreat difficult due to the
fluctuations in the arterial pressure. The general course of the
treatment goes that it controls symptoms. The medication of
Against-Parkinson, as L-l-it drugs, can be beneficial but it is due to
use with the precaution because loss can arterial tension, causing
blackouts. To release arterial tension loss, the dietetic
increases of the salt and the liquid can be beneficial. The
medications to elevate the arterial pressure as corticoesteroides they
can cause indirect effect and must carefully supervise by a doctor the
medications, metoclopramide, the derivatives of ergotamine, and
indomethacin Alfa-alpha-adrenergic is useful in many cases.
Sleeping in a position head-up at night can reduce to headaches
and vertigos in the morning. A tube of artificial feeding or the
breathing tube can be inserted surgical for the management of
difficulties that swallow and breathings. In rare cases, the
marcapasos can be implanted to correct irregularities of the heart.
Ti'mido-Drager finishes generally in death 7 to 10 years
after the beginning of symptoms. Pulmonía is the cause
commonest of the death, although the irregularities in blow of the
heart can be responsible for death in some patients.
The information provided by
National institute of neurological disorders and
National institutes of the health
Created Article: 1999-03-20
Reviewed Article: 1999-03-19
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