Autonomic Disturbances in Acute Cerebrovascular Disease

作     者：Jun Mo Lei Huang Jianhua Peng Umut Ocak Jianmin Zhang John H.Zhang 

作者机构：Department of Neurosurgery The Fourth Affiliated HospitalZhejiang University School of Medicine Department of Physiology and Pharmacology Loma Linda University Department of Neurosurgery Loma Linda University Department of Neurosurgery The Second Affiliated HospitalZhejiang University School of Medicine Brain Research Institute Zhejiang University Collaborative Innovation Center for Brain Science Zhejiang University Department of Anesthesiology Loma Linda University 

出 版 物：《Neuroscience Bulletin》 (神经科学通报（英文版）)

年 卷 期：2019年第35卷第1期

页      面：133-144页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基　　金：supported partly by grants from the National Institutes of Health USA(NS081740 and NS082184) 

主　　题：Autonomic disturbance Autonomic nervous system Cerebrovascular disease Stroke 

摘      要：Autonomic disturbances often occur in patients with acute cerebrovascular disease due to damage of the central autonomic network. We summarize the structures of the central autonomic network and the clinical tests used to evaluate the functions of the autonomic nervous *** review the clinical and experimental findings as well as management strategies of post-stroke autonomic disturbances including electrocardiographic changes, cardiac arrhythmias, myocardial damage, thermoregulatory dysfunction, gastrointestinal dysfunction, urinary incontinence, sexual disorders, and hyperglycemia. The occurrence of autonomic disturbances has been associated with poor outcomes in stroke patients. Autonomic nervous system modulation appears to be an emerging therapeutic strategy for stroke management in addition to treatments for sensorimotor dysfunction.