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E-grāmata: Primer on the Autonomic Nervous System

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Edited by (Neurologist at the Mayo Clinic focusing on Autonomic Neuropathy)
  • Formāts: PDF+DRM
  • Izdošanas datums: 02-Jun-2004
  • Izdevniecība: Academic Press Inc
  • Valoda: eng
  • ISBN-13: 9780080473963
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  • Formāts: PDF+DRM
  • Izdošanas datums: 02-Jun-2004
  • Izdevniecība: Academic Press Inc
  • Valoda: eng
  • ISBN-13: 9780080473963
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The Primer on the Autonomic Nervous System presents, in a readable and accessible format, key information about how the autonomic nervous system controls the body, particularly in response to stress. It represents the largest collection of world-wide autonomic nervous system authorities ever assembled in one book. It is especially suitable for students, scientists and physicians seeking key information about all aspects of autonomic physiology and pathology in one convenient source. Providing up-to-date knowledge about basic and clinical autonomic neuroscience in a format designed to make learning easy and fun, this book is a must-have for any neuroscientist's bookshelf!

* Greatly amplified and updated from previous edition including the latest developments in the field of autonomic cardiovascular regulation and neuroscience
* Provides key information about all aspects of autonomic physiology and pathology
* Discusses stress and how its effects on the body are mediated
* Compiles contributions by over 140 experts on the autonomic nervous system

Papildus informācija

* Greatly amplified and updated from previous edition including the latest developments in the field of autonomic cardiovascular regulation and neuroscience * Provides key information about all aspects of autonomic physiology and pathology * Discusses stress and how its effects on the body are mediated * Compiles contributions by over 140 experts on the autonomic nervous system
List of Contributors
xix
Preface xxvii
PART I ANATOMY
Development of the Autonomic Nervous System
Caryl E. Hill
Pathways and Fate of Neural Crest Cells
3(1)
Factors Operating during Neural Crest Migration
3(1)
Neurite Outgrowth and Target Contact
4(1)
Factors Involved in Neurite Outgrowth and Neuronal Survival
5(1)
Synapse Formation and Neuronal Differentiation
5(1)
Conclusions
5(1)
Mechanisms of Differentiation of Autonomic Neurons
Kwang-Soo Kim
The Autonomic Nervous System Is Derived from Neural Crest Cells
6(1)
Signaling Molecules Regulate the Developmental Processes of the Autonomic Nervous System
6(1)
Transcriptional Code Underlying the Development and Phenotypic Specification of the Autonomic Nervous System
7(2)
Mash1
7(1)
Phox2 Genes
7(1)
Gata3
8(1)
Activator Protein 2
8(1)
Other Transcriptional Factors
8(1)
Neurotransmitter Phenotypes of the Autonomic Nervous System
9(3)
Noradrenaline Phenotype
9(1)
Control Mechanism of DBH Gene Expression Is Closely Related to Autonomic Nervous System Development
9(1)
Cholinergic Phenotype and the Switch of Neurotransmitter Phenotypes by the Target Cell Interactions
9(3)
Milestones in Autonomic Research
Max R. Bennett
Receptors
12(1)
Classical Transmitters: The Discovery of Noradrenaline, Acetylcholine, and Their Receptors
12(1)
The Discovery of New Transmitters, Including Nucleotides, Peptides, and Nitric Oxide
12(1)
Varicosities
12(5)
Varicosities Shown to be the Source of Transmitters
12(1)
Varicosities Have the Capacity to Take Up Transmitters After Their Release
12(1)
Varicosities Possess Receptors That on Activation Modulate Further Transmitter Release
13(1)
Generation of Currents and Second Messengers on Receptor Activation After Transmitter Release from Varicosities
13(1)
Action Potentials, Initiated by the Generation of Junction Potentials, Are Caused by the Influx of Calcium Ions
13(1)
Control of the Influx of Calcium Ions Is a Principal Means of Decreasing Blood Pressure
13(4)
PART II PHARMACOLOGY
Central Autonomic Control
Eduardo E. Benarroch
Anatomy of Central Autonomic Areas
17(1)
Forebrain
17(1)
Levels of Integration of Central Autonomic Control
18(2)
Bulbospinal Level
18(1)
Pontomesencephalic Level
18(1)
Forebrain Level
18(2)
Peripheral Autonomic Nervous System
Robert W. Hamill
Robert E. Shapiro
Sympathetic Nervous System
20(3)
Sympathoadrenal Axis and the Adrenal Gland
23(1)
Parasympathetic Nervous System
24(1)
The Concept of Plurichemical Transmission and Chemical Coding
25(2)
Functional Neuroanatomy and Biochemical Pharmacology
27(2)
The Autonomic Neuroeffector Junction
Geoffrey Burnstock
Structure of the Autonomic Neuromuscular Junction
29(1)
Varicose Terminal Axons
29(1)
Junctional Cleft
29(1)
Prejunctional and Postjunctional Specialization
30(1)
Muscle Effector Bundles and Gap Junctions
30(1)
Autonomic Neurotransmission
30(2)
Electrophysiology
30(1)
Receptor Localization on Smooth Muscle Cells
31(1)
Model of Autonomic Neuroeffector Junction
32(2)
Autonomic Neuromuscular Transmission
Max R. Bennett
New Transmitters and the Concept of Cotransmitters
34(1)
Varicosities, Vesicle-Associated Proteins, and Calcium Fluxes
34(1)
Ionotropic Receptors Are Localized to the Muscle Membrane at Varicosities
34(1)
Metabotropic and Ionotropic Receptors Are Internalized and Recycled after Binding Transmitter
34(1)
Sources of Intracellular Calcium in Smooth Muscle for Initiating Contraction
35(1)
Modulation of Calcium Influx and the Control of Hypertension
35(1)
Dopaminergic Neurotransmission
Christopher Bell
Transmitter Neurochemistry
36(1)
Transmitter Synthesis
36(1)
Transmitter Storage and Release
36(1)
Transmitter Recycling
36(1)
Future Questions
37(2)
Dopamine Receptors
Aki Laakso
Marc G. Caron
Structural and Functional Characteristics of Dopamine Receptors
39(1)
Gene Structure
39(1)
Receptor Structure
39(1)
Signal Transduction
40(2)
D1-like Receptors
40(1)
D2-like Receptors
41(1)
Oligomerization
41(1)
Pharmacology
42(1)
Distribution
42(1)
Distribution in the Brain
42(1)
D1 Receptors
42(1)
D2 Receptors
42(1)
D3 Receptors
42(1)
D4 Receptors
43(1)
D5 Receptors
43(1)
Dopamine Receptors in the Periphery
43(1)
Regulation
43(1)
Noradrenergic Neurotransmission
David S. Goldstein
Noradrenergic Innervation of the Cardiovascular System
44(1)
Norepinephrine: The Sympathetic Neurotransmitter
45(1)
Norepinephrine Synthesis
45(1)
Storage
46(1)
Release
46(1)
Disposition
47(3)
α1-Adrenergic Receptors
Robert M. Graham
Subtypes
50(1)
Structure and Signaling
50(1)
Ligand Binding and Activation
50(2)
Regulation
52(1)
Vascular Subtypes
52(5)
α2-Adrenergic Receptors
Lee E. Limbird
β-Adrenergic Receptors
Stephen B. Liggett
Signaling of β-AR Subtypes
57(1)
Regulation of β-AR Function
57(1)
Polymorphisms of β-AR
58(3)
Purinergic Neurotransmission
Geoffrey Burnstock
Sympathetic Nerves
61(1)
Parasympathetic Nerves
61(1)
Sensory-Motor Nerves
62(1)
Intramural (Intrinsic) Nerves
63(1)
Skeletal Neuromuscular Junctions
63(1)
Synaptic Purinergic Transmission in Ganglia and Brain
64(1)
Glial Cells
64(1)
Plasticity of Expression of Purinergic Cotransmitters
64(1)
Long-Term (Trophic) Signaling
64(1)
P2X3 Receptors and Nociception
64(1)
Future Developments
64(2)
Adenosine Receptors and Autonomic Regulation
Italo Biaggioni
Postsynaptic Antiadrenergic Effects of Adenosine
66(1)
Presynaptic Effects of Adenosine on Efferent Nerves and Ganglionic Transmission
66(1)
Adenosine and Central Autonomic Regulation
66(1)
Neuroexcitatory Actions of Adenosine on Afferent Pathways
67(1)
Integrated View of Adenosine and Cardiovascular Autonomic Regulation
67(3)
Acetylcholine and Muscarinic Receptors
B. V. Rama Sastry
David Robertson
Acetylcholine Synthesis and Metabolism: Drug Mechanisms
70(1)
Acetylcholine Receptors
70(1)
Muscarinic Agonists
71(1)
Muscarinic Autonomic Effects of Acetylcholine
71(1)
Muscarinic Antagonists
72(1)
Nicotinic Acetylcholine Receptors: Structure and Functional Properties
Palmer Taylor
Structural Considerations
73(1)
Subtype Diversity of Nicotinic Receptors
73(1)
Electrophysiologic Events Associated with Receptor Activation
74(2)
Distribution of Nicotinic Receptors
76(1)
Acetylcholinesterase and Its Inhibitors
Albert Enz
Mechanism of Action
77(1)
Acetylcholinesterase Inhibitors
77(1)
Pharmacologic Actions of Acetylcholinesterase Inhibition
77(2)
Clinical Applications of Anticholinesterases
79(1)
Cholinesterase Inhibitors and Alzheimer's Disease
80(3)
Amino Acid Neurotransmission
William Talman
Peptidergic Neurotransmission
Graham J. Dockray
Families of Peptide Transmitters
83(1)
Generic Features of Peptidergic Transmission
83(1)
Biosynthesis
83(1)
Storage and Release
83(1)
Receptors
84(1)
Degradation
84(1)
Chemical Coding
84(1)
Overview of Peptides in the Autonomic Nervous System
84(2)
Leptin Signaling in the Central Nervous System
Kamal Rahmouni
William G. Haynes
Allyn L. Mark
Central Neural Action of Leptin
86(1)
Leptin Receptor
86(1)
Intracellular Mechanisms of Leptin Signaling
86(1)
Site of Leptin Action in the Brain
87(1)
Interaction of Leptin and Neuropeptides in the Hypothalamus
87(2)
Neuropeptide Y
87(1)
Melanocortin System
88(1)
Other Mediators
88(1)
Conclusion
89(1)
Nitrergic Neurotransmission
Jill Lincoln
Synthesis of Nitric Oxide
90(1)
Mechanisms of Nitrergic Neurotransmission
90(1)
Nitrergic Neurotransmission in the Autonomic Nervous System and Pathologic Implications
91(2)
Serotonin Receptors and Neurotransmission
Elaine Sanders-Bush
Charles D. Nichols
Localization
93(1)
Synthesis and Metabolism
93(1)
Neurotransmission
93(1)
Receptors
94(1)
Pharmacology and Role in Disease
94(9)
Antidepressant-Sensitive Norepinephrine Transporters: Structure and Regulation
Randy D. Blakely
PART III PHYSIOLOGY
Cardiac and Other Visceral Afferents
John C. Longhurst
Anatomic Framework
103(1)
Afferent Stimuli
103(4)
Autonomic Reflex Responses to Visceral Afferent Activation
107(1)
Pathologic Alterations of Visceral Afferents
107(7)
Skeletal Muscle Afferents
Marc P. Kaufman
Entrainment of Sympathetic Rhythms
Michael P. Gilbey
Sympathetic Rhythm
114(1)
Cardiac- and Respiratory-Related Rhythms
114(1)
Mechanisms Underlying Rhythms
114(1)
Phasic Inputs Generate Rhythms
114(1)
Entrainment of Rhythms
114(1)
How Many Central Oscillators?
115(1)
Functional Significance
115(1)
Sexual Function
John D. Stewart
Peripheral Structures
116(1)
Central Nervous System
116(1)
Physiologic Events
116(2)
Gastrointestinal Function
Michael Camilleri
Salivary Secretion
118(1)
Gastric Secretion
118(1)
Pancreaticobiliary Secretion
118(1)
Bile
118(1)
Intestinal Secretion and Absorption
119(1)
Control of Gut Motility
119(1)
Normal Gastrointestinal Motor Function
120(2)
Regulation of Metabolism
Robert Hoeldtke
Catecholamines and Glucose Metabolism
122(1)
Catecholamines and Fat Metabolism
122(1)
Catecholamines and Thermogenesis
122(1)
Insulin and Autonomic Function
123(1)
The Sweat Gland
Phillip A. Low
Anatomy and Function of the Sweat Gland
124(1)
Type
124(1)
Density and Distribution
124(1)
Physiology of Sweat Glands
124(1)
Function
124(1)
Innervation of Sweat Gland
124(3)
Denervation
126(1)
Temperature Regulation
Mikihiro Kihara
Junichi Sugenoya
Phillip A. Low
Central Integration
127(1)
Effector Mechanisms
127(1)
Shivering
127(1)
Nonshivering Thermogenesis
128(1)
Vasomotor Response
128(1)
Sudomotor Response
129(1)
Autonomic Control of Airways
Peter J. Barnes
Overview of Airway Innervation
130(1)
Afferent Nerves
130(1)
Slowly Adapting Receptors
130(1)
Rapidly Adapting Receptors
130(1)
C-Fibers
130(1)
Cough
130(1)
Neurogenic Inflammation
130(1)
Cholinergic Nerves
130(1)
Cholinergic Efferents
131(1)
Muscarinic Receptors
131(1)
Cholinergic Reflexes
131(1)
Anticholinergics in Airway Disease
131(1)
Bronchodilator Nerves
131(1)
Sympathetic Nerves
131(1)
Inhibitory Nonadrenergic Noncholinergic Nerves
132(1)
Neuropeptides
132(1)
Neural Control of Airways in Disease
133(1)
Asthma
133(1)
Chronic Obstructive Pulmonary Disease
133(1)
Autonomic Control of Cardiac Function
Kleber G. Franchini
Allen W. Cowley, Jr.
Autonomic Nerves Innervating the Mammalian Heart
134(1)
Myocardial Nerve Terminals
135(1)
The Autonomic Nervous System and Cardiac Function
136(1)
Interactions between Sympathetic and Parasympathetic Nerves
137(2)
Neurogenic Control of Blood Vessels
Kleber G. Franchini
Allen W. Cowley, Jr.
Sympathetic Component
139(3)
Sympathetic Fibers
139(1)
Neuroeffector Junction
140(1)
Neurotransmitters of Sympathetic Component
140(1)
Release of Transmitter and Effector Action
141(1)
Parasympathetic Component
142(1)
Neural Control of Veins
142(1)
Differential Vasomotor Control
142(2)
Cerebral Circulation: Autonomic Influences
Peter J. Goadsby
Neural Innervation of Brain Circulation
144(1)
Extrinsic Neural Influences
144(3)
Sympathetic Nervous System
144(1)
Parasympathetic Nervous System
145(1)
Effect of Direct Parasympathetic Stimulation on Cerebral Blood Flow In Vivo
146(1)
High-Pressure and Low-Pressure Baroreflexes
Dwain L. Eckberg
Anatomy
147(1)
Transduction
147(1)
Methods for Study of Human Baroreflexes
148(1)
Integrated Baroreflex Responses
149(1)
Baroreflex Resetting
150(1)
Cardiopulmonary Baroreflexes
151(1)
Summary
151(1)
Venoarteriolar Reflex
Phillip A. Low
Skin Blood Flow
152(1)
Venoarteriolar Reflex
152(2)
The Cardioinhibitory Vasodepressor Reflex
Valentina Accurso
Virend K. Somers
Physiology
154(1)
Clinical Conditions Predisposing to Activation of the Reflex
154(3)
Autonomic Control of the Kidney
Edwin K. Jackson
Innervation of the Kidney
157(1)
Autonomic Receptors in the Kidney
157(2)
Reflex Regulation of Blood Volume
159(1)
The Renorenal Reflex
160(1)
Autonomic Control of the Kidney in Pathophysiologic States
160(2)
Autonomic Control of the Pupil
H. Stanley Thompson
Parasympatholytic (Anticholinergic) Drugs
162(1)
Parasympathomimetic (Cholinergic) Drugs
162(2)
Sympathomimetic (Adrenergic) Drugs
164(1)
Sympatholytic Drugs (Adrenergic Blockers)
164(1)
Other Agents
164(1)
Iris Pigment and Pupillary Response to Drugs
164(2)
Intraocular Pressure and Autonomic Dysfunction
Karen M. Joos
Systemic Blood Pressure and Intraocular Pressure Relation
166(1)
Ocular Blood Flow
166(1)
Autonomic Dysfunction
166(2)
Angiotensin II/Autonomic Interactions
Debra I. Diz
David B. Averill
Sympathetic Nervous System
168(1)
Angiotensin II Influence on the Sympathetic Nervous System
168(1)
Sympathetic Nervous System Influence on the Renin-Angiotensin System
168(1)
Parasympathetic Nervous System
168(1)
Angiotensin II Influence on the Parasympathetic Nervous System
168(1)
Physiologic Examples of Regulation/Interactions
169(1)
Baroreceptor Reflex
169(1)
Chemoreceptor Reflex
169(1)
Other Sensory Modalities
169(1)
Pathophysiology
170(1)
Hypertension
170(1)
Congestive Heart Failure
170(1)
Consequences of Ang II-Mediated Enhancement of Sympathetic Nerve Activity to the Kidney
170(1)
Receptor Pharmacology
170(1)
Conclusions
171(1)
Autonomic Effects of Anesthesia
Thomas J. Ebert
Direct Effects of Anesthetics on Sympathetic Outflow
172(1)
Intravenous Anesthetics (Sedative/Hypnotics)
172(1)
Human Baroreflex Function and Anesthetic Gases
173(3)
Low-Pressure (Cardiopulmonary) Baroreflexes
173(1)
High-Pressure Baroreflexes
173(1)
Intravenous Anesthetics
173(2)
Inhaled Agents
175(1)
Peripheral Dopamine Systems
Graeme Eisenhofer
David S. Goldstein
Dopamine in the Kidneys
176(1)
Dopamine in the Gastrointestinal Tract
176(1)
Diet and Dopamine Sulfate
177(1)
Perspectives
177(1)
Dopamine Mechanisms in the Kidney
Robert M. Carey
Renal Dopamine Formation and Excretion
178(1)
Renal Dopamine Receptor Expression
178(1)
Dopaminergic Regulation of Renal Sodium Excretion
178(1)
D1-Like Receptors
178(1)
D2-Like Receptors
179(1)
Physiologic Interactions of the Renal Dopaminergic System and the Renin-Angiotensin System
179(1)
Renal Dopamine and Hypertension
180(5)
PART IV STRESS
Exercise and the Autonomic Nervous System
Vernon S. Bishop
Effects of High Altitude
Luciano Bernardi
Effects of Acute Hypoxia
185(1)
Effects of Chronic Hypoxia
186(1)
Autonomic Nervous System and High-Altitude Illness
186(1)
Hypothermia
Bruce C. Paton
Etiologic Factors
187(1)
General Response to Heat Loss
187(1)
Specific Systematic Changes
187(1)
Diagnosis
188(1)
Psychological Stress and the Autonomic Nervous System
Michael G. Ziegler
Normal Psychological Stresses and Autonomic Activity
189(1)
Patterns of Autonomic Response to Stress
189(1)
Gastrointestinal Control
190(1)
Psychosomatic Disorders and the Autonomic Nervous System
190(1)
Posttraumatic Stress Disorder, Panic, and Anxiety
190(1)
Aging and the Autonomic Nervous System
Vera Novak
Lewis A. Lipsitz
Baroreflex Function
191(1)
Sympathetic Activity
191(1)
Parasympathetic Activity
191(1)
Variability of Cardiovascular Signals
192(1)
Neurotransmitters and Receptors
192(1)
Cardiac β-Adrenergic Receptors
192(1)
Vascular Reactivity
192(1)
Volume Regulation
193(1)
Cerebral Vasoregulation
193(1)
Mind-Body Interactions
Daniel Tranel
Nonconscious Memory
194(1)
Nonconscious Face Recognition in Prosopagnosia
194(1)
Nonconscious Recognition in the Auditory Modality
194(1)
Nonconscious Learning
195(1)
Nonconscious Face Learning in Prosopagnosia
195(1)
Nonconscious Learning of Affective Valence
195(1)
Conditioning Without Awareness
196(1)
Emotion
196(5)
Impaired Skin Conductance Responses to Emotionally Charged Stimuli
196(1)
Impaired Skin Conductance Responses to Familiar Faces
197(1)
The Somatic Marker Hypothesis
197(4)
PART V NEUROPATHOLOGY
Oxidative Processes
Jing Zhang
Thomas J. Montine
Oxidative Stress
201(1)
Mechanisms to Limit Reactive Oxygen Species and Reactive Nitrogen Species Accumulation
201(1)
Oxidative Damage to Cellular Macromolecules
201(2)
Lipid Peroxidation
201(1)
Nucleic Acid
202(1)
Protein
202(1)
Cellular Repair and Detoxification Mechanisms for Oxidative Damage
203(1)
Glutathione-S-transferases
203(1)
Aldo-keto Oxidoreductases
203(1)
DNA Repair
203(1)
Summary
203(1)
α-Synuclein and Neurodegeneration
Michel Goedert
The Synuclein Family
204(1)
The α-Synuclein Diseases
204(1)
Models of α-Synucleinopathies
205(3)
Experimental Autoimmune Autonomic Neuropathy
Steven Vernino
Autoimmune Autonomic Neuropathy
208(1)
Experimental Autoimmune Autonomic Neuropathy
208(5)
PART VI EVALUATION OF AUTONOMIC FAILURE
Clinical Assessment of Autonomic Failure
David Robertson
Orthostatic Test
213(3)
Tilt-Table Testing
216(1)
Pharmacologic Tests
216(1)
Evaluation of the Patient with Syncope
Horacio Kaufmann
Mechanisms of Syncope
217(1)
Orthostatic Hypotension
217(1)
Acute Decrease in Cardiac Output
218(1)
Acute Increase in Cerebrovascular Resistance
218(1)
Diagnosis
219(1)
Tilt Testing
220(1)
Prognosis
220(1)
Evaluation of the Patient with Orthostatic Intolerance
Ronald Schondorf
Overview
221(1)
Clinical Features
221(1)
Pathophysiology of Orthostatic Intolerance
221(1)
Laboratory Evaluation of Orthostatic Intolerance
221(2)
Symptoms of Orthostatic Intolerance
223(1)
Sympathetic Microneurography
B. Gunnar Wallin
Methodology
224(2)
Equipment
224(1)
Procedure
224(1)
Analysis
225(1)
Potential Difficulties
226(2)
Mixed Sites
226(1)
Changes of Electrode Site
226(2)
Assessment of the Autonomic Control of the Cardiovascular System by Frequency Domain Approach
Raffaello Furlan
Alberto Malliani
Methodology
228(1)
Functional Significance of Cardiovascular Rhythms
228(1)
Relation between Cardiovascular and Neural Rhythms
229(1)
Physiology and Pathophysiology
229(2)
Assessment of Sudomotor Function
Phillip A. Low
Ronald Schondorf
Tests of Sudomotor Function
231(1)
Quantitative Sudomotor Axon Reflex Test
231(1)
Skin Imprint Recordings
231(1)
Skin Potential Recordings
231(2)
Thermoregulatory Sweat Test
233(1)
Integrated Evaluation of Sweating
233(1)
Biochemical Assessment of Sympathoadrenal Activity
Joseph L. Izzo, Jr.
Stanley F. Fernandez
Catecholamine Metabolism
234(1)
Urinary Excretion of Catecholamines and Metabolites
234(1)
Urinary Vanillylmandelic Acid Excretion
234(1)
Urinary-Free Catecholamines
234(1)
Urinary Metanephrines
234(1)
Urinary Methoxyhydroxyphenyl Glycol
234(1)
Plasma Catecholamines and Metabolites
235(1)
Plasma Norepinephrine
235(1)
Plasma Epinephrine
236(1)
Plasma Dopamine
236(1)
Plasma Dihydroxyphenyl Glycol
236(1)
Plasma Metanephrines
236(1)
Sulfoconjugates
236(1)
Other Proteins and Peptides in Plasma
236(1)
Dopamine β-hydroxylase
236(1)
Chromogranin A
236(1)
Neuropeptide Y
236(1)
Tissue Catecholamine Concentrations
237(1)
Tissue Catecholamines
237(1)
Platelet Catecholamine
237(1)
Cerebrospinal Fluid Catecholamines and Metabolites
237(1)
Kinetic (Turnover) Studies
237(1)
General Methodology
237(1)
Radiotracer Infusions
237(1)
Analytic Methods for Catecholamines
238(3)
Sample Preservation
238(1)
Analytic Techniques
238(3)
PART VII CARDIOVASCULAR DISORDERS
Hypertension and Sympathetic Nervous System Activity
David A. Calhoun
Suzanne Oparil
Renal Sympathetic Stimulation in Experimental and Human Hypertension
241(1)
Cardiac Sympathetic Stimulation in Human Hypertension
241(1)
Sympathetic Nervous System Activity and Vascular Remodeling
242(1)
Plasma Norepinephrine Levels
242(1)
Regional Norepinephrine Spillover
243(1)
Microneurography
243(1)
Sympathetic and Vascular Reactivity
244(1)
The Autonomic Nervous System and Sudden Cardiac Death
Dan M. Roden
Clinical Links between Autonomic Dysfunction and Sudden Cardiac Death
245(1)
Basic Mechanisms
245(1)
Conclusion
246(1)
Congestive Heart Failure
Mazhar H. Khan
Lawrence I. Sinoway
Sympathetic Nervous System
247(1)
Regulation of Sympathetic Nervous System Activity in Congestive Heart Failure
247(1)
Implication of Sympathetic Nervous System Activation in Congestive Heart Failure
247(1)
Implications for Therapy
248(1)
Neurally Mediated Syncope
Satish R. Raj
Rose Marie Robertson
Pathophysiology of Neurally Mediated Syncope
249(1)
Diagnosis of Neurally Mediated Syncope
249(1)
Tilt-Table Testing
250(1)
Natural History of Neurally Mediated Syncope
250(7)
Neurally Mediated Syncope Treatment
250(7)
Syncope in the Athlete
Victor A. Convertino
PART VIII CATECHOLAMINE DISORDERS
The Autonomic Storm
Alejandro A. Rabinstein
Eelco F. M. Wijdicks
Definition
257(1)
Causes and Pathophysiology
257(1)
Incidence
257(1)
Clinical Manifestations
257(1)
Differential Diagnosis and Diagnostic Evaluation
258(1)
Treatment
258(1)
Prognosis
258(9)
Pheochromocytoma
William M. Manger
Ray W. Gifford, Jr.
Graeme Eisenhofer
Chemodectoma and the Familial Paraganglioma Syndrome
Terry Ketch
James L. Netterville
Baroreflex Failure
Jens Jordan
Causes of Baroreflex Failure
267(1)
Clinical Presentation
267(2)
Diagnosing Baroreflex Failure
269(1)
Treatment
270(1)
Deficiencies of Tetrahydrobiopterin, Tyrosin Hydroxylase, and Aromatic L-Amino Acid Decarboxylase
Keith Hyland
Lauren A. Arnold
Biochemistry
271(1)
Presentation and Neurologic Symptoms
271(1)
Diagnosis
272(1)
Tetrahydrobiopterin Deficiencies
272(1)
Tyrosine Hydroxylase Deficiency
273(1)
Aromatic L-Amino Acid Decarboxylase Deficiency
273(1)
Treatment
273(1)
BH4 Deficiencies
273(1)
Tyrosine Hydroxylase Deficiency
273(1)
Aromatic L-Amino Acid Decarboxylase Deficiency
273(1)
Dopamine β-Hydroxylase Deficiency
Anton H. Van Der Meiracker
Frans Boomsma
Jaap Deinum
Clinical Presentation
274(1)
Diagnosis
274(1)
Differential Diagnosis
275(1)
Genetics
275(1)
Therapy
275(2)
Menkes Disease
Stephen G. Kaler
Epidemiology
277(1)
Clinical Phenotype
277(1)
Biochemical Phenotype
277(1)
Autonomic Manifestations
277(3)
Clinical Signs of Pysautonomia in Menkes Disease
277(1)
Neurochemical Abnormalities
277(1)
Molecular Diagnosis
278(1)
Treatment
278(2)
Norepinephrine Transporter Dysfunction
Maureen K. Hahn
Role of the Norepinephrine Transporter
280(1)
The Human Norepinephrine Transporter Gene
280(1)
Human Norepinephrine Transporter Single-Nucleotide Polymorphisms
280(1)
A457P and Orthostatic Intolerance
280(1)
Conclusions
281(6)
Monoamine Oxidase Deficiency
Jacques W. M. Lenders
Graeme Eisenhofer
PART IX CENTRAL AUTONOMIC DISORDERS
Parkinson's Disease
Thomas L. Davis
Cardiac Sympathetic Denervation
287(1)
Tests of Sympathetic Function
287(1)
Tests of Parasympathetic Function
287(1)
Orthostatic Hypotension
287(1)
Constipation
288(1)
Dysphagia
288(1)
Drooling
288(1)
Sexual Function
288(1)
Bladder Dysfunction
288(2)
Multiple System Atrophy
Niall Quinn
History, Nosology, Epidemiology, Demographics, and Prognosis
290(1)
History and Nosology
290(1)
Epidemiology
290(1)
Demographics and Prognosis
290(1)
Clinical Features
290(1)
Clinical Diagnostic Criteria
291(1)
Differential Diagnosis
291(1)
Paraclinical Investigations
291(1)
Management
291(2)
Dementia with Lewy Bodies
Gregor K. Wenning
Michaela Stampfer
Clinical Aspects and Differential Diagnosis
293(1)
Practical Management
293(1)
Dementia
293(1)
Hallucinations and Psychosis
293(1)
Parkinsonism
294(1)
Dysautonomia
294(1)
Central Disorders of Autonomic Function
Eduardo E. Benarroch
Disorders of Telencephalic Autonomic Regions
295(1)
Stroke
295(1)
Seizures
295(1)
Disorders of the Diencephalon
295(1)
Hypothalamic Disorders
295(1)
Paroxysmal Sympathetic Storms (``Diencephalic Seizures'')
296(1)
Fatal Familial Insomnia
296(1)
Disorders of the Brainstem
296(1)
Vertebrobasilar Disease
296(1)
Posterior Fossa Tumors
296(1)
Degenerative and Developmental Disorders
296(1)
Inflammatory, Toxic, and Metabolic Disorders
297(1)
Disorders of the Spinal Cord
297(1)
Autonomic Disturbances in Spinal Cord Injuries
Christopher J. Mathias
Cardiovascular System
298(2)
Cutaneous Circulation
300(1)
Thermoregulation and Sudomotor Function
300(1)
Gastrointestinal System
301(1)
Urinary System
301(1)
Reproductive System
301(1)
Neuroleptic Malignant Syndrome
P. David Charles
Thomas L. Davis
Clinical Features
302(1)
Medications and Risk Factors
302(1)
Differential Diagnosis
303(1)
Pathogenesis
304(1)
Treatment
304(5)
PART X PERIPHERAL AUTONOMIC FAILURE
Pure Autonomic Failure
Horacio Kaufmann
Irwin J. Schatz
Differential Diagnosis
309(1)
Catecholamine Studies
310(1)
Neuroendocrine Studies
310(1)
Diagnostic Imaging Techniques
310(1)
Neuropathology
310(1)
Management
310(2)
Familial Dysautonomia
Felicia B. Axelrod
Max J. Hilz
Genetics and Diagnosis
312(1)
Pathology
312(1)
Sural Nerve
312(1)
Spinal Cord
312(1)
Sympathetic Nervous System
312(1)
Parasympathetic Nervous System
313(1)
Biochemical Data
313(1)
Clinical Symptoms and Treatments
313(1)
Prognosis
314(2)
Hereditary Autonomic Neuropathies
Yadollah Harati
Opas Nawasiripong
Fabry's Disease
316(1)
Clinical Manifestations of Fabry's Disease
316(1)
Autonomic Involvement
316(1)
Porphyria
317(1)
Clinical Manifestation of Porphyria
317(1)
Autonomic Involvement in Porphyria
318(1)
Treatment of Porphyria
318(1)
Multiple Endocrine Neoplasia Type 2B
318(1)
Hereditary Motor and Sensory Neuropathies Type I and II (Charcot-Marie Tooth 1 and 2)
319(1)
Types I, II, IV, and V Hereditary Sensory and Autonomic Neuropathy
319(1)
Amyloidotic Autonomic Failure
Hazem Machkhas
Opas Nawasiripong
Yadollah Harati
Immunoglobulin Amyloidosis
320(2)
Pathogenesis
320(1)
Diagnosis
321(1)
Treatment
321(1)
Prognosis
322(1)
Reactive Amyloidosis
322(1)
Hereditary Amyloidosis
322(2)
Pathogenesis
323(1)
Laboratory Data and Diagnosis
323(1)
Treatment and Prognosis
323(1)
Autoimmune Autonomic Neuropathy
Steven Vernino
Phillip A. Low
Vanda A. Lennon
Autoimmune Autonomic Neuropathy
324(2)
Description
324(1)
Diagnosis
325(1)
Clinical Course
325(1)
Treatment
326(1)
Paraneoplastic Autoimmune Autonomic Neuropathy
326(2)
Diabetic Autonomic Dysfunction
Andrew C. Ertl
Michael Pfeifer
Stephen N. Davis
Iris
328(1)
Esophagus
328(1)
Stomach
328(1)
Gallbladder
329(1)
Colon
329(1)
Bladder
329(1)
Penis
329(1)
Vagina
330(1)
Adernal Medulla
330(1)
Sudomotor
330(1)
Cardiovascular
330(2)
Guillain-Barre Syndrome
Phillip A. Low
James G. Mcleod
Clinical Features
332(1)
Investigations
332(1)
Etiology or Mechanisms
332(1)
Course and Prognosis
333(1)
Management
333(3)
Chagas' Disease
Daniel Bulla
Alba Larre Borges
Raquel Ponce De Leon
Mario Medici
Drug-Induced Autonomic Dysfunction
Neal L. Benowitz
Importance of Aging
336(1)
Drug Interactions
336(1)
Autonomic Neuropathy Produced by Specific Chemicals and Drugs
337(4)
PART XI ORTHOSTATIC INTOLERANCE
Neuropathic Postural Tachycardia Syndrome
Phillip A. Low
Clinical Features
341(1)
Quality of Life
341(1)
Evidence of Peripheral Denervation
341(1)
Other Pathophysiologic Studies
341(1)
Follow-up
342(1)
Management
342(4)
Hyperadrenergic Postural Tachycardia Syndrome
Simi Vincent
David Robertson
Hypovolemia Syndrome
Fetnat Fouad-Tarazi
Blood Volume and Syncope
346(1)
Relation between Chronic Global Blood Volume Depletion and Neurocardiogenic Response to Upright Posture
347(1)
Dynamics of Postural Blood Volume Shifts
347(1)
Clinical Features of Chronic Idiopathic Hypovolemia
347(1)
Hemodynamic Profile of Chronic Idiopathic Hypovolemia
348(1)
Neurohumoral Indexes of Chronic Idiopathic Hypovolemia
348(1)
Possible Mechanisms of Chronic Idiopathic Hypovolemia
348(1)
Response to Therapy
349(1)
Future Considerations
349(5)
PART XII OTHER CLINICAL CONDITIONS
Disorders of Sweating
Robert D. Fealey
Hypohidrosis and Anhidrosis
354(5)
Distal Anhidrosis
356(1)
Global Anhidrosis
356(1)
Dermatomal, Focal, or Multifocal Anhidrosis
356(1)
Segmental Anhidrosis
356(1)
Hemianhidrosis
356(3)
Male Erectile Dysfunction
Douglas F. Milam
Mechanism of Erection
359(1)
Etiologic Factors of Erectile Dysfunction
359(1)
Neuromuscular Junction Disorders
359(1)
Neurogenic Erectile Dysfunction
360(1)
Endocrine Disorders
360(1)
Medical and Surgical Treatment
360(2)
Sleep-Disordered Breathing and Autonomic Failure
Sudhansu Chokroverty
Sleep-Disordered Breathing in Autonomic Failure
362(2)
Diagnosis
364(1)
Treatment
364(1)
General Measures and Medical Treatment
364(1)
Mechanical Treatment
364(1)
Surgical Treatment
365(1)
Hypoadrenocorticism
David H. P. Streeten
Effects of Autonomic Activity on Adrenocortical Secretion
366(1)
Effects of Hypoadrenocorticism on Autonomic Failure
366(2)
Mastocytosis
L. Jackson Roberts, II
Mastocytosis and Allied Activation Disorders of the Mast Cell
368(1)
Symptoms and Signs
368(1)
Mast Cell Mediators Responsible for the Symptoms and Signs
368(1)
Diagnosis
369(1)
Summary
369(1)
Cocaine Overdose
Wanpen Vongpatanasin
Ronald G. Victor
Effects of Cocaine on the Peripheral Circulation
370(1)
Autonomic Effects of Cocaine on the Heart
370(1)
Effects of Cocaine on Thermoregulation
371(1)
Treatment of Cocaine Overdose
371(3)
Sympathetic Nervous System and Pain
Wilfrid Janig
Sympathetic-Afferent Coupling Depending on Activity in Sympathetic Neurons: Hypotheses Driven by Clinical Observations
374(1)
Role of Sympathetic Nervous System in Generation of Pain and Hyperalgesia During Inflammation: Hypotheses Developed on the Basis of Experiments in Behavioral Animal Models
374(1)
Cutaneous Mechanical Hyperalgesia Elicited by the Inflammatory Mediator Bradykinin
375(1)
Cutaneous Hyperalgesia Generated by Nerve Growth Factor
375(1)
Mechanical Hyperalgesic Behavior Generated by Activation of the Sympathoadrenal System (Adrenal Medulla)
375(2)
Baroreflex Functioning in Monogenic Hypertension
Friedrich C. Luft
Autosomal-Dominant Hypertension with Brachydactyly
377(1)
Neurovascular Contact
378(1)
Baroreflex Testing
378(1)
Invasive Baroreflex Testing
378(1)
Comparisons with Patients Who have Essential Hypertension
379(1)
Lessons from Monogenic Hypertension
380(5)
Carcinoid Tumors
Kenneth R. Hande
Chronic Fatigue and the Autonomic Nervous System
Roy Freeman
Chronic Fatigue Syndrome, Orthostatic Intolerance, and Neurally Mediated Syncope
385(1)
Chronic Fatigue Syndrome, Postural Tachycardia, and Orthostatic Intolerance
386(1)
Pathophysiology of Postural Tachycardia
386(1)
Conclusion
386(2)
Paraneoplastic Autonomic Dysfunction
Ramesh K. Khurana
Brainstem Dysfunction Syndrome
388(1)
Morvan Syndrome
388(1)
Subacute Sensory Neuronopathy
388(1)
Enteric Neuronopathy
388(1)
Autonomic Neuropathy
388(1)
Lambert-Eaton Myasthenic Syndrome
389(1)
Diagnosis
389(1)
Treatment
390(1)
Panic Disorder
Murray Esler
Marlies Alvarenga
David Kaye
Gavin Lambert
Jane Thompson
Jacqui Hastings
Rosemary Schwarz
Margaret Morris
Jeff Richards
Resting Sympathetic Nervous System Function in Panic Disorder
391(1)
Sympathetic Nervous Activity and Epinephrine Secretion Rates
391(1)
Epinephrine Cotransmission in Sympathetic Nerves
391(1)
Reduction in Neuronal Norepinephrine Reuptake by Sympathetic Nerves
392(1)
Autonomic Nervous Changes During a Panic Attack
392(1)
Sympathetic Nerve Firing and Secretion of Epinephrine
392(1)
Release of Neuropeptide Y
393(1)
Mediating Autonomic Mechanisms of Cardiac Risk During a Panic Attack
393(10)
PART XIII MANAGEMENT OF AUTONOMIC DISORDERS
Hypoglycemic Associated Autonomic Dysfunction
Darleen A. Sandoval
Stephen N. Davis
Surgical Sympathectomy
Emily M. Garland
Physical Measures
Wouter Wieling
Physical Counter Maneuvers
403(1)
Leg-Crossing
403(1)
Squatting
403(1)
External Support
404(2)
Conclusion
406(1)
Treatment of Orthostatic Hypotension: Nutritional Measures
Jens Jordan
Water: A Pressor Agent
407(1)
Caffeine
408(1)
Tyramine
409(1)
Sodium
409(1)
Licorice
409(1)
Nutritional Treatment of Supine Hypertension
409(4)
Fludrocortisone
Rose Marie Robertson
Midodrine and Other Sympathomimetics
Janice L. Gilden
Midorine
413(1)
Mechanism of Action
413(1)
Pharmacology
413(1)
Efficacy
413(1)
Adverse Effects and Disadvantages
414(1)
Dosing
414(1)
Ephedrine/Other α Agonists
414(2)
Mechanism of Action
414(1)
Adverse Events and Disadvantages
414(1)
Dosing
415(1)
Dihydroxyphenylserine
Roy Freeman
Precursor Therapy for Orthostatic Hypotension
416(3)
Adrenergic Agonists and Antagonists in Autonomic Failure
Roy Freeman
Sympathomimetic Agents
419(1)
Clonidine
420(1)
Yohimbine
420(1)
Erythropoietin in Autonomic Failure
Italo Biaggioni
Modulation of Erythropoietin Production by the Autonomic Nervous System
421(1)
The Anemia of Autonomic Failure
421(1)
Recombinant Human Erythropoietin in the Treatment of Orthostatic Hypotension
421(2)
Bionic Baroreflex
Takayuki Sato
Andre Diedrich
Kenji Sunagawa
Bionic Baroreflex System
423(1)
Theoretic Background
423(1)
Implementation of Algorithm of Artificial Vasomotor Center in Bionic Baroreflex System
423(1)
Efficacy of Bionic Baroreflex System
423(1)
Epidural Catheter Approach for Human Bionic Baroreflex System
424(1)
Clinical Implications
425(1)
Acupuncture
John C. Longhurst
Western Understanding of Acupuncture
426(1)
Neurologic Substrate
426(1)
Clinical Role of Acupuncture
427(1)
Outstanding Issues in Acupuncture Research
427(6)
PART XIV EXPERIMENTAL AUTONOMIC NEUROSCIENCE
Autonomic Disorders in Animals
Matthew J. Picklo, Sr.
Sympathectomy
433(1)
Surgical Sympathectomy
433(1)
Anti-Nerve Growth Factor Immunosympathectomy
433(1)
Immune-Mediated Sympathectomy
433(1)
Chemical Sympathectomy
433(1)
Immunotoxin Sympathectomy
434(1)
Pathologic Autonomic Failure in Animals
434(1)
Transgenic Strategies in Autonomic Research
Kazuto Kobayashi
Toshiharu Nagatsu
Transgenic Animal Model
435(1)
Experimental Strategy of Immunotoxin-Mediated Cell Targeting Technique
435(1)
Model for Autonomic Neuropathy
435(1)
Future Aspects
436(13)
Mouse Homologous Recombination Models
Nancy R. Keller
Index 449


Dr. Phillip Low is a Neurologist at the Mayo Clinic focusing on Autonomic Disorders. Phillip A. Low, M.D. has a long-standing research focus on clinical and laboratory research into the cause and treatment of autonomic disorders. Efforts have been concentrated on following major areas: multiple system atrophy; development of novel biomarkers and tests and instruments to study autonomic disorders; diagnosis and treatment of autonomic neuropathies; conducting randomized clinical trials. Dr. Low's research has been continuously funded by the National Institutes of Health (NIH) for over the past 30 years.