101. Multiple System Atrophy multiple system atrophy Medical.WebEnds.com. multiple system atrophy Syndrome; Multisystem Atrophy; Multisystemic Atrophy; Atrophies, Multisystem; http://medical.webends.com/kw/Multiple System Atrophy

Medical.WebEnds.com - Medical Terminology Dictionary A B C D ... Z WWW Medical.WebEnds.com Multiple System Atrophy Multiple System Atrophy Syndrome; Multisystem Atrophy; Multisystemic Atrophy; Atrophies, Multisystem; Atrophies, Multisystemic; Atrophy, Multiple System; Atrophy, Multisystem; Atrophy, Multisystemic; Multiple System Atrophies A syndrome complex composed of three conditions which represent clinical variants of the same disease process: STRIATONIGRAL DEGENERATION SHY-DRAGER SYNDROME ; and the sporadic form of OLIVOPONTOCEREBELLAR ATROPHIES . Clinical features include autonomic, cerebellar, and basal ganglia dysfunction. Pathologic examination reveals atrophy of the basal ganglia cerebellum pons , and medulla, with prominent loss of autonomic neurons in the brain stem and spinal cord. (From Adams et al., Principles of Neurology , 6th ed, p1076; Baillieres Clin Neurol 1997 Apr;6(1):187-204; Med Clin North Am 1999 Mar;83(2):381-92) Google links Processing time was 0.065020084381104 seconds.

102. Electroconvulsive Therapy For Elderly Patients With Multiple multiple system atrophy (MSA) is a progressive neurological illness associated multiple system atrophy (MSA)1 is a degenerative disease of the nervous http://ajgp.psychiatryonline.org/cgi/content/full/8/2/171

103. Author Information multiple system atrophy (MSA) is a neurological disorder that has They proposed the use of the term multiple system atrophy to avoid any of the many http://www.ptjournal.org/May99/May99_abs/v79n5p488.cfm

Author Information Article Information Reprint Information Table of Contents ... APTA Home Physical Therapy Update Multiple System Atrophy Laurie Swan and Jerome Dupont Click here for the PDF version of this art icle. Download free Adobe Acroba t Reader software Key Words: Multiple system atrophy, Olivopontocerebellar atrophy, Orthostatic hypotension, Parkinson disease, Shy-Drager syndrome, Striatonigral degeneration. M ultiple system atrophy (MSA) is a neurological disorder that has frequently been misdiagnosed as idiopathic Parkinson disease. A proliferation of articles in recent literature has noted that MSA is a disease that primarily affects the functioning of the autonomic, basal ganglia, and cerebellar systems. The History and Nomenclature of MSA The recognition of MSA as a unique entity has emerged gradually during the last century. Quinn, in describing several cases occurring in the late 1800s and early 1900s, may have provided the first descriptions of MSA. In 1925, Bradbury and Eggleston wrote the first clear case report of 3 patients with postural hypotension. Today, we know that postural hypotension is a characteristic sign of MSA. In 1960, Shy and Drager

104. Multiple System Atrophy multiple system atrophy. Overview Symptoms Treatment Prevention Shows abnormal reflexes; May show severe muscle wasting (atrophy) http://adam.about.com/encyclopedia/000757sym.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zCMt='a00' About Healthcare Center Healthcare Center Essentials ... Surgeries and Procedures zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Allergies Arthritis Asthma Breast Cancer ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); Search Healthcare Center ENCYCLOPEDIA INDEX Injury Disease Nutrition Poison ... Z Multiple system atrophy Overview Symptoms Treatment Prevention Alternative Names: Shy-Drager syndrome; Neurologic orthostatic hypotension; Shy-McGee-Drager syndrome; Parkinson's plus syndrome Symptoms: Dizziness or fainting when arising or after standing still Impotence Loss of sweating of any part of the body Loss of control of bowels or bladder Vision changes, decreased or blurred vision Muscle rigidity Stiffness Difficulty bending arms or legs Posture difficulties: may be unstable, stooped, or slumped over Movement difficulties Loss of balance Gait (walking pattern) changes Shuffling Slow movements Difficulty beginning to walk or initiating any voluntary movement Small steps followed by the need to run to maintain balance Freezing of movement when the movement is stopped, unable to resume movement

105. Multiple System Atrophy multiple system atrophy. Overview Symptoms Treatment Prevention. Alternative Names Central nervous system Central nervous system adam.com http://adam.about.com/encyclopedia/000757trt.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zCMt='a00' About Healthcare Center Healthcare Center Essentials ... Surgeries and Procedures zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Allergies Arthritis Asthma Breast Cancer ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); Search Healthcare Center ENCYCLOPEDIA INDEX Injury Disease Nutrition Poison ... Z Multiple system atrophy Overview Symptoms Treatment Prevention Alternative Names: Shy-Drager syndrome; Neurologic orthostatic hypotension; Shy-McGee-Drager syndrome; Parkinson's plus syndrome Treatment: There is no cure for MSA, and there is no known means to slow progression. Treatment is aimed at controlling symptoms such as postural hypotension and parkinsonian movements. Anticholinergic medications may be used to reduce early or mild tremors . Levodopa may improve movement and balance. Carbidopa may reduce the side effects of Levodopa and make it work better. However, the response to medications may be disappointing. Many affected individuals respond poorly to treatment with anticholinergics or Levodopa. Medications that may be used to treat low blood pressure include the following: Sympathomimetics Vasoconstrictors Beta-blockers MAO inhibitors Vasopressin 9-fluohydrocortisone A pacemaker programmed to stimulate the heart to beat at a rapid rate (faster than 100 beats per minute) may increase blood pressure for some people.

106. Multiple System Atrophy (Shy-Drager Syndrome): MR Imaging -- Pastakia Et Al. 159 Brain Magnetic Resonance Imaging in MultipleSystem Atrophy and Parkinson Disease A Diagnostic Algorithm Arch Neurol, May 1, 2002; 59(5) 835 - 842. http://radiology.rsnajnls.org/cgi/content/abstract/159/2/499

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted ... Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles PubMed PubMed Citation Articles by Pastakia, B. Articles by Wener, L. ARTICLES Multiple system atrophy (Shy-Drager syndrome): MR imaging B Pastakia, R Polinsky, G Di Chiro, JT Simmons, R Brown and L Wener The Shy-Drager syndrome (SDS) is a form of progressive autonomic nervous system failure (PAF) with orthostatic hypotension and associated extrapyramidal involvement that is often mistaken for Parkinson disease. SDS includes olivopontocerebellar atrophy and striatonigral degeneration which is attended by PAF. Eight patients with SDS were studied on a 0.5-T superconducting system utilizing T1- weighted inversion recovery (IR) and T2-weighted spin-echo pulse sequences and also on a 1.5-T system using

107. NEJM -- Case 27-2004: Multiple-System Atrophy Correspondence from The New England Journal of Medicine Case 272004 multiple-system atrophy. http://content.nejm.org/cgi/content/short/351/27/2881-a

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 351:2881-2883 December 30, 2004 Number 27 Next Case 27-2004: Multiple-System Atrophy Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text PDF PDA Full Text Add to Personal Archive ... PubMed Citation To the Editor: In reviewing the differential diagnosis in the case of a woman with disturbances in gait, cognition, and autonomic function, Schlossmacher provides a scholarly discussion of multiple-system atrophy (Aug. 26 issue), but he errs by including pure autonomic failure as one of four syndromes subsumed under the diagnosis of multiple-system atrophy. Pure autonomic failure is a distinct and separate clinical entity that affects postganglionic neurons. Autonomic impairment is the principal manifestation; orthostatic hypotension, bladder incontinence, and impotence in men are the major signs. Pure autonomic failure differs importantly from multiple-system atrophy in its lack of any Full Text of this Article HOME SEARCH CURRENT ISSUE ... HELP Comments and questions? Please

108. NEJM -- Sign In Correspondence from The New England Journal of Medicine Case 272004 multiple-system atrophy. http://content.nejm.org/cgi/content/full/351/27/2881-a

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Access to this article requires sign-in. Subscribers have access to all content. Other registered users have access to research articles six months old and older. If you're a registered user or an activated subscriber SIGN IN User Name Password Forgot your Password? Click here and we'll e-mail it to you. If you do not use cookies, sign in here. Remember my User Name and Password. Log in via Athens. PURCHASE THIS ARTICLE Purchase a single article and get immediate online access for just $10. If you're a subscriber but have not yet activated your full online access If you'd like to purchase a subscription to NEJM If you're not a subscriber and want FREE limited access... ACTIVATE YOUR SUBSCRIPTION Subscribers to NEJM are entitled to full access to all online content and features, including 20 FREE online CME exams. OR Receive full access to ALL current content and online features including Personal Archives, PDF article downloads, PDA access, E-mail alerts and 20 FREE online CME exams. OR Receive FREE online access to NEJM Original and Special Articles 6 months after publication and choose to receive the Table of Contents and notification of early release articles via e-mail.

109. THE MERCK MANUAL, Sec. 14, Ch. 179, Disorders Of Movement Information about cerebellar and spinocerebellar disorders. Includes a short discussion about friedreich's ataxia, cerebellar ataxias and multiple systems atrophy. http://www.merck.com/pubs/mmanual/section14/chapter179/179g.htm

var locationOverride = "http://www.merck.com/pubs/"; This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 179. Disorders Of Movement Topics [General] Tremor Dyskinesias Drug-Induced Movement Disorders ... Idiopathic Orthostatic Hypotension And Shy-Drager Syndrome Cerebellar And Spinocerebellar Disorders Disorders of the cerebellum and its inflow or outflow pathways produce deficits in the rate, range, and force of movement. Anatomically, the cerebellum has three subdivisions. The archicerebellum (vestibulocerebellum) comprises the flocculonodular lobe, helps maintain equilibrium and coordinate eye-head-neck movements, and is closely interconnected with the vestibular nuclei. The midline vermis (paleocerebellum) helps coordinate movement of the trunk and legs. Vermis lesions result in abnormalities of stance and gait. The lateral hemispheres, which make up the neocerebellum, control ballistic and finely coordinated limb movements, predominantly of the arms. Signs of cerebellar disease are listed in Table 179-3.

110. BioMed Central | Full Text | Orthostatic Hypotension In Multiple System Atrophy To obtain access to Current Treatment Options in Neurology through your institution use the options below. If you would like information about a personal http://www.biomedcentral.com/1092-8480/2/225

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