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NEUROLOGY 1983;33:1061
© 1983 American Academy of Neurology

Chronic sensory and autonomic neuropathy

Toru Okajima, MD, Sadamitsu Yamamura, MD, Kazuhiro Hamada, MD, Shoichiro Kawasaki, MD, Tom Ideta, MD, Hiroshi Ueno, MD and Haruhiko Tokuomi, MD

Third Department of Medicine (Drs. Okajima and Ueno), Medical College of Oita, and the First Department of Internal Medicine (Drs. Yamamura, Hamada, Kawasaki, Ideta, and Tokuomi), Kumamoto University Medical School, Kumamoto, Japan.

A man with sensory neuropathy had evidence of autonomic failure: abnormal pupils, hypohidrosis, esophageal dilation, diarrhea, hypotension, orthostatic hypotension, sphincter disturbance, and impotence. Functional tests revealed abnormalities of both sympathetic and parasympathetic systems, mainly postganglionic. Autopsy revealed degeneration of posterior columns, posterior nerve roots, posterior root ganglia, and peripheral nerves. Degeneration was also observed in the sympathetic trunk, vagal nerve, and myenteric plexus. Neurons in the intermediolateral columns were preserved. Progressive sensory neuropathy with dysautonomia seems to be a new disease.

Address correspondence and reprint requests to Dr. Okajima, Third Department of Medicine, Medical College of Oita, Oita, 879-56, Japan.

Accepted for publication December 28, 1982.






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