Fortschr Neurol Psychiatr 2001; 69(9): 423-438
DOI: 10.1055/s-2001-16907
ORIGINALARBEIT
Georg Thieme Verlag Stuttgart · New York

Klinik und Diagnose der diabetischen autonomen Neuropathie

Diabetic Autonomic NeuropathyM. Dütsch, M. J. Hilz, B. Neundörfer
  • Neurologische Klinik mit Poliklinik der Friedrich-Alexander-Universität Erlangen-Nürnberg (Direktor: Prof. Dr. med. B. Neundörfer)
Further Information

Publication History

Publication Date:
03 September 2001 (online)

Zusammenfassung:

Die diabetische autonome Neuropathie (DAN) ist die häufigste autonome Neuropathie der westlichen Welt. Ihre Symptome sind vielfältig und betreffen nahezu alle Organsysteme. Im Vordergrund stehen dabei kardiovaskuläre Störungen wie eingeschränkte Herzfrequenzvariabilität und pathologische Orthostasereaktion. Ihre Diagnostik erfolgt im Wesentlichen durch die Analyse kardiovaskulärer Stimulationsmanöver. Nachfolgend soll ein Einblick in Epidemiologie, Klinik, Diagnostik, Pathogenese, Therapiemöglichkeiten und Prognose der diabetischen autonomen Neuropathie vermittelt werden.

Diabetic Autonomic Neuropathy:

Diabetic autonomic neuropathy is the most frequent autonomic neuropathy in western countries. Diabetic autonomic neuropathy affects almost every organ. Among the most common symptoms are cardiovascular disturbances such as reduced heart rate variability and pathologic orthostatic reaction. The diagnosis of diabetic autonomic neuropathy is mainly based on the analysis of cardiovascular challenge maneuvers. The following article describes epidemiology, clinical findings, diagnosis, pathogenesis, therapeutic options and prognosis in diabetic autonomic neuropathy.

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Prof. Dr. med. Max J. Hilz

Neurologische Klinik mit Poliklinik der Universität Erlangen-Nürnberg

Schwabachanlage 6

91054 Erlangen

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