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Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 352-353

Acquired postganglionic cholinergic dysautonomia – A rare clinical entity

1 Department of Ophthalmology, Little Flower Hospital, Angamaly, Kerala, India
2 Department of Neurology, Little Flower Hospital, Angamaly, Kerala, India

Correspondence Address:
Dr. Meena Chembil Kakkitampara
“Lakshmi” P T Usha Road, Ernakulam - 682 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2214_20

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Acute dysautonomia or dysfunction of the autonomic nervous system is characterized by severe postganglionic sympathetic and parasympathetic dysfunction, with a relative or complete sparing of motor and sensory function. Acquired cholinergic dysautonomia, a very rare condition of failure of the parasympathetic system leads to complete bilateral internal ophthalmoplegia, impaired secretion of tears, and may present with visual symptoms. Herein, we report a rare case of acute cholinergic dysautonomia in an 11-year-old girl.

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