Show Summary Details
Page of

Case 43: Multiple System Atrophy and Vitamin B12 Deficiency 

Case 43: Multiple System Atrophy and Vitamin B12 Deficiency
Chapter:
Case 43: Multiple System Atrophy and Vitamin B12 Deficiency
Author(s):

Peter Novak

DOI:
10.1093/med/9780190889227.003.0049
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2020

This patient showed severe generalized autonomic failure associated with compensated orthostatic hypotension, which is consistent with multiple system atrophy (MSA). Cerebral autoregulatory failure was associated with low supine cerebral blood flow velocity, which remained stable during the tilt. Small fiber neuropathy, biopsy-proven, mixed, was affecting both sensory and autonomic fibers.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.