Table 1.
Autonomic Symptoms Questionnaire for Semiquantitative Evaluation of Dysautonomia (in Scores)
| Clinical signs of dysautonomia | Intensity of changesa ( in points) |
|---|---|
| Orthostatic hypotension | (0-2) |
| - Mild | 1 |
| - Severe | 2 |
| Syncope | 0-1 |
| Anhidrosis | 0-1 |
| Hipohidrosis | 0-1 |
| Hiperhidrosis | 0-1 |
| Urinary incontinence | 0-1 |
| Urinary retention | 0-1 |
| Urinary urgency | 0-1 |
| Hypersalivation | 0-1 |
| Constipation | 0-1 |
| Diarrhea | 0-1 |
| Impotence (in men) | 0-1 |
a 0 = no symptoms; 1 = symptoms present; orthostatic hypotension: mild → present only in case of facilitating conditions; severe → present all the time.