1. SECONDARY A.N.S. DISORDERS
Hereditary:
o        –Autosomal dominant trait
o        –Familial amyloid neuropathy
o        –Autosomal recessive trait
o        –Familial dysautonomia: Riley-Day syndrome
o        –Dopamine β hydroxylase deficiency
·         Metabolic diseases:
o        –Diabetes mellitus
o        –Chronic renal failure
o        –Chronic liver disease
o        –Alcohol induced
·        
o      

2. SECONDARY A.N.S. DISORDERS
·         Inflammatory:
o        –Guillain-Barré syndrome
o        –Transverse myelitis
·         Infections:
o        –Bacterial: tetanus
o        –Parasitic: Chagas’ disease
o        –Viral: HIV
·         Neoplasia:
o        –Brain tumours, especially of third ventricle or posterior fossa
o        –Paraneoplastic, to include adenocarcinomas of lung and pancreas

3. Cardiovascular disorders
Postural hypotension
Supine hypertension
Lability of blood pressure
Paroxysmal hypertension
Tachycardia
Bradycardia
Fainting

4. Hypertension 1/3 of the UK population 1/3 Identified
Adequately treated

5. How does High Blood Pressure develop?
How is high BP maintained?

6. Vaso-vagal Syncope

10. Sexual disorders Retrograde ejaculation Ejaculatory failure
Erectile failure
Ejaculatory failure
Retrograde ejaculation
Priapism

12. SECONDARY A.N.S. DISORDERS
Hereditary:
o        –Autosomal dominant trait
o        –Familial amyloid neuropathy
o        –Autosomal recessive trait
o        –Familial dysautonomia: Riley-Day syndrome
o        –Dopamine β hydroxylase deficiency
·         Metabolic diseases:
o        –Diabetes mellitus
o        –Chronic renal failure
o        –Chronic liver disease
o        –Alcohol induced
·        
o      

13. SECONDARY A.N.S. DISORDERS
·         Inflammatory:
o        –Guillain-Barré syndrome
o        –Transverse myelitis
·         Infections:
o        –Bacterial: tetanus
o        –Parasitic: Chagas’ disease
o        –Viral: HIV
·         Neoplasia:
o        –Brain tumours, especially of third ventricle or posterior fossa
o        –Paraneoplastic, to include adenocarcinomas of lung and pancreas

14. Cardiovascular disorders
Postural hypotension
Supine hypertension
Lability of blood pressure
Paroxysmal hypertension
Tachycardia
Bradycardia
Fainting

15. Hypertension 1/3 of the UK population 1/3 Identified
Adequately treated

16. How does High Blood Pressure develop?
How is high BP maintained?

17. Vaso-vagal Syncope

21. Sexual disorders Retrograde ejaculation Ejaculatory failure
Erectile failure
Ejaculatory failure
Retrograde ejaculation
Priapism