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Yes please, autonomic nervous system testing would be prudent here as the tachycardia, tremors and urinary incontinence are pointing towards it.
MRA may not pick up autonomic abnormalities.
For autonomic system testing - Standard laboratory testing evaluates cardiovagal, sudomotor and adrenergic autonomic functions. Cardiovagal function is typically evaluated by testing heart rate response to deep breathing at a defined rate and to the Valsalva maneuver. Sudomotor function can be evaluated with the quantitative sudomotor axon reflex test and the thermoregulatory sweat test. Adrenergic function is evaluated by the blood pressure and heart rate responses to the Valsalva maneuver and to head-up tilt. Tests are useful in defining the presence of autonomic failure, their natural history, and response to treatment.
Best regards ***** ***** Sumanth Amperayani
No...MRI will not pick up autonomic issues. That is the reason why I had suggested you the next steps please.
First let us see the response of tests to autonomic system and then we will talk about multiple system atrophy.
I believe it is not right in too much of negative thinking before data about multiple system atrophy.
It is capital mistake to theorize before data.
It will account for pain and sensation in legs.
But bladder abnormality is usually either autonomic related or related to center of spine problem like syringomylia.
These symptoms can be attributed to spinal cord compression...like a pinched nerve.
Hi...you need to work yourself up for - autonomic nervous system evaluation.
The other problem is - myasthenia gravis.
I want you to mention this to the treating physician and if the physician is convinced get evaluated for that too.
I am putting this as a possibility is as the eye lids are difficult to raise.
Hi..I am happy that my interaction was helpful for you and put your mind at ease. In future you can opt me as your favorite medical expert so that you can ask me a question directly. I will be happy to help anytime.
Kind regards ***** ***** Sumanth Amperayani
Hi... entamoeba cannot be correlated with the above pain or non specific neurological symptoms please.
I am responding in the other thread please.