Evidence map›Paper›PMID 21766230›Full record

ArticleWiener klinische Wochenschrift2011

Acute pandysautonomia--restitutio ad integrum by high prednisolone therapy.

Walter Struhal, Stephanie Hödl, Samy Mazhar, Gerhard Ransmayr

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In one paragraph

Article in Wiener klinische Wochenschrift, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Walter StruhalAutonomic Unit, Department for Neurology and Psychiatry, AKH, Linz, Austria. walter.struhal@akh.linz.at
Stephanie Hödl
Samy Mazhar
Gerhard Ransmayr

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute pandysautonomia is a rare disease defined as acute widespread and severe sympathetic and parasympathetic failure and sparing of somatic nerve fibers. The causes of this syndrome are often an autoimmune disease leading to autonomic ganglionopathy. The majority of cases have a poor prognosis with a chronic debilitating course. We present a previously healthy 24-year-old female patient, who developed a loss of accommodation, pupillotonia, lacrimation, swallowing disturbances, gastrointestinal symptoms and an atonic bladder with 750 ml residual volume. The Ewing battery showed signs of parasympathetic and sympathetic dysfunction leading to the diagnosis of acute pandysautonomia. Further tests failed to find a cause of acute neuropathy especially where there was no evidence for paraneoplastic or infectious etiology. The patient was treated with high dose intravenous prednisolone and completely recovered.

Indexed as

Acute DiseaseAdrenergic alpha-1 Receptor AntagonistsAdultAnti-Inflammatory AgentsBethanecholBlood PressureDose-Response Relationship, DrugDoxazosinDrug Therapy, CombinationElectrocardiographyFemaleGastrointestinal TransitHeart RateHumansInfusions, IntravenousNeurologic ExaminationAdrenergic alpha-1 Receptor AntagonistsAnti-Inflammatory AgentsBethanecholDoxazosinNorepinephrineParasympathomimeticsPrednisolone

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.