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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