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Case 43: Multiple System Atrophy and Vitamin B12 Deficiency 

Case 43: Multiple System Atrophy and Vitamin B12 Deficiency
Case 43: Multiple System Atrophy and Vitamin B12 Deficiency

Peter Novak

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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.

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