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©2013 UpToDate ® Print Email Autonomic dysfunction with central nervous system manifestations Multiple system atrophy (Shy-Drager syndrome) With cerebellar features (MSA-C, olivopontocerebellar atrophy) With extrapyramidal features (MSA-P, striatonigral degeneration) Dementia with Lewy bodies Parkinson disease Brain tumors (brainstem, cerebellum, diencephalon) Wernicke's disease Multiple cerebral infarcts Syringomyelia and syringobulbia Hydrocephalus Multiple sclerosis Myelopathies Traumatic Inflammatory Pernicious anemia System degenerative Tabes dorsalis Progressive supranuclear palsy Huntington's disease Amyotrophic lateral sclerosis Reproduced with permission from: Freeman, R. Autonomic dysfunction. In: The Office Practice of Neurology, 2nd ed, Samuels, M, Feske, S (Eds), Churchill-Livingstone, Philadelphia 2003; 14:145. Copyright © 2003 Elsevier.