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Typically this is one of the first reflexes to return after spinal shock.
Farrer MJ. These findings support the results of several previous studies. PD predominantly affects the motor system and sometimes influences the autonomic nervous system; however, MSA-P mainly affects the autonomic nervous system. Despite these previous attempts, an objective examination that includes the autonomic nervous system and that renders a greater possibility for differential diagnosis is still needed. Differentiation of parkinsonism-predominant multiple system atrophy from idiopathic Parkinson disease using 3T susceptibility-weighted MR imaging, focusing on putaminal change and lesion asymmetry.