We report a case of acute autonomic neuropathy without any signs of peripheral neuropathy, which presented in a young woman with acute urinary retention. Exclusion of other possible etiologies, clinical indications and a precise diagnostic routine enabled us to recognise this uncommon but important pathology.
McLeodJ.C., TuckR.R.: Disorders of the Autonomic Nervous System: part 1. Pathophysiology and clinical features. Ann. Neurol., 21: 419–430, 1987.
2.
McLeodJ.G., TuckR.R.: Disorders of the Autonomic Nervous System: part 2. Investigation and treatment. Ann. Neurol., 21: 519–530, 1987.
3.
TaubnerR.W.: Acute dysautonomia and polyneuropathy. Arch. Neurol., 41: 1100, 1984.
4.
FagiusJ., WesterbergC.E., OlssonY.: Acute pandysautonomia and severe sensory deficit with poor recovery. A clinical, neurophysiological and pathological case study. J. of Neurol. and Psych., 46: 725–733, 1983.
5.
SmithG.D., BannisterR., MathiasC.J.: Post-exertion dizziness as the sole presenting symptom of autonomic failure. Br. Heart. J., 69 (4): 359–361, 1993.
6.
McLeodJ.C.: Autonomic dysfunction in peripheral nerve disease. J. Clin. Neurophysiol., 10 (1): 51–60, 1993.
7.
MassonC.: Dysautonomia and multi-systemic atrophy of the nervous system. Presse Med., 21 (13): 619–624, 1992.
8.
BongiovanniL.G., BertolasiL., BenedettiM., BonatoC., DonèD., GiustiG., TallarigoC., TeatiniF.: Apporto della neurofisiologia allo studio delle disfunzioni dell'apparato urogenitale. Urologia, 60 (1): 66–76, 1993.
9.
GiustiG., TallarigoC., BongiovanniL.G.: Role of urodynamics and neurophysiology in the diagnosis of vesico-urethral dysfunction due to autonomic failure. Urodinamica, 2: 165–167, 1992.
10.
FreemanR., MiyawakiE.: The treatment of autonomic dysfunctions. J. Clin. Neurophysiol., 10 (1): 61–82, 1993.
11.
KirbyR.S., FowlerC.J., GoslingJ.A., BannisterR.: Bladder dysfunction in distal autonomic neuropathy of acute onset. J. of Neurol. and Psych., 48: 762–767, 1985.
