A Detailed Look At Autonomic Involvement in Multiple Sclerosis: Clinical and Diagnostic Approach

Year 2025, Volume: 20 Issue: 3, 233 - 236

Buket Tugan Yıldız

https://doi.org/10.17517/ksutfd.1530360

Abstract

Multiple sclerosis is an autoimmune disease of the central nervous system and one of the most common causes of disability in young people. It affects the autonomic nervous system, presenting a wide range of symptoms and signs similar to those of the somatic nervous system. Clinical signs of autonomic nervous system involvement were found in 85% of patients. Bladder and bowel problems, sexual dysfunction, cardiovascular dysfunction, thermoregulatory dysfunction, orthostatic hypotension, and fatigue are among the findings of autonomic nervous system involvement. Autonomic symptoms cause disability and decreased quality of life at least as much as motor symptoms. Patients should be questioned regarding autonomic symptoms, and treatment should be initiated if necessary.

Keywords

Multiple sclerosis , autonomic involvement , autonomic nervous system

Multipl Skleroziste Otonomik Tutuluma Detaylı Bir Bakış: Klinik ve Tanısal Yaklaşım

Abstract

Multipl skleroz, merkezi sinir sisteminin otoimmün bir hastalığıdır ve gençlerde engelliliğin en yaygın nedenlerinden biridir. Somatik sinir sisteminde olduğu gibi otonom sinir sistemini de çok çeşitli semptom ve bulgularla etkiler. Hastaların %85'inde otonom sinir sistemi tutulumunun klinik bulguları saptanmıştır. Mesane ve bağırsak sorunları, cinsel, kardiyovasküler, termoregülatuar disfonksiyon, ortostatik hipotansiyon ve yorgunluk otonom sinir sistemi tutulumunun bulguları arasındadır. Otonomik semptomlar en az motor semptomlar kadar özürlülüğe ve yaşam kalitesinde azalmaya neden olur. Hastalar otonomik semptomlar açısından sorgulanmalı ve gerekirse tedavi başlanmalıdır.

Keywords

Multipl sklerozis , otonomik tutulum , otonom sinir sistemi

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