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Table 3 The other symptoms of acute autonomic neuropathy

From: Acute autonomic neuropathy with severe gastrointestinal symptoms in children: a case series

Case

Pupil

Urinary system

Orthostatic hypotension

Tachycardia

Myodynamiaaa

Deep tendon reflexes

B/P/Ac

Sensory deficits

 

UL L/R

LL L/R

1

ARL

uroschesis

+

IV/IV

III/III

A/A/A

2

anisocoria, ARL

uroschesis

Syncope

+

V/V

V/V

N/R/R

tingling

3

ARL

uroschesis

Syncope

+

V/V

IV/IV

N/R/R

4

ASP

Syncope

+

V/V

IV/IV

R/R/R

5

mydriasis, anisocoria, ARL

+

V/V

V/V

N/N/N

SP tenderness

6

anisocoria, ARL

delayedu- rination

Syncope

+

V/V

V/V

N/N/N

tenderness

7

uroschesis

+

III/IV

III/IV

R/A/A

8

mydriasis, ARL

oliguria

V/V

V/V

R/R/R

tenderness

9

ARL

uroschesis

IV/IV

IV/IV

N/N/N

numbness SP

10

mydriasis, anisocoria, ARL

V/V

V/V

A/A/A

tenderness

11

III/III

IV/IV

N/N/N

  1. +: present; −: absence
  2. Pupil: ARL = absence of reaction to light; ASP = abnormal shape of pupils;
  3. Myodynamia: aa = using MRC grading system; LL = lower limb; L = left; R = right; UL = upper limb;
  4. Deep tendon reflexes: A = absent; Ac = Achilles tendon; B = biceps tendon; N = normal; R = reduced; P = patellar tendon
  5. Sensory deficits: SP = spontaneous pain