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TOPICAL COLLECTIONS

Methods for the Clinical Assessment of Autonomic Dysfunction in Neurodegenerative Diseases
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Takayoshi Shimohata

Takayoshi Shimohata

Department of Neurology, Gifu University

Takayoshi Shimohata, MD, PhD, is Professor of Neurology at Gifu University Graduate School of Medicine, Japan. He received his medical degree from Niigata University School of Medicine and completed his PhD at Niigata University Graduate School of Medical Sciences. After serving as a JSPS Research Fellow, he was a visiting lecturer at Stanford University. He subsequently held academic positions at the Brain Research Institute, Niigata University, and has been Professor of Neurology at Gifu University since 2017.Professor Shimohata’s clinical and research interests focus on neurodegenerative diseases, autonomic dysfunction, and cerebrovascular disorders, with particular emphasis on clinical assessment, diagnostic methodology, and translational approaches. He is actively involved in medical education, academic publishing, and professional societies, and is a Fellow of the American Academy of Neurology (FAAN) and the American Heart Association (FAHA).

Collection Overview

Autonomic dysfunction is a common and clinically significant feature of many neurodegenerative diseases, including Parkinson’s disease, multiple system atrophy, and related disorders. It contributes substantially to patient morbidity, affects quality of life, and often provides important diagnostic and prognostic information. Despite its importance, approaches to the clinical assessment of autonomic dysfunction remain highly variable across institutions, and many examination techniques and testing protocols are insufficiently standardized or poorly visualized in the existing literature.

 

This Topical Collection aims to provide a comprehensive, method-focused resource that visualizes and standardizes approaches to the clinical assessment of autonomic dysfunction in neurodegenerative diseases. Leveraging JoVE’s video-based format, the collection will highlight practical bedside examinations, structured clinical assessments, and commonly used autonomic testing methodologies, including cardiovascular, sudomotor, and related evaluations. Particular emphasis will be placed on techniques that are difficult to convey through text alone, as well as on common pitfalls, disease-specific considerations, and best practices.

 

This collection will serve as a practical reference for clinicians, clinical researchers, and trainees involved in the care and study of patients with neurodegenerative diseases. By improving the clarity, reproducibility, and accessibility of autonomic assessment methods, the collection aims to promote more consistent clinical practice, facilitate multicenter research, and enhance the recognition and evaluation of autonomic dysfunction in neurodegeneration.

Articles

A Standardized Head-Up Tilt Test Protocol to Assess Cardiovascular Autonomic Dysfunction in Neurodegenerative Diseases
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A Standardized Head-Up Tilt Test Protocol to Assess Cardiovascular Autonomic Dysfunction in Neurodegenerative Diseases

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2026

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Abstracts

Blood Pressure Abnormalities and Standardization of 24-Hour Ambulatory Blood Pressure Monitoring in Neurodegenerative Diseases

Misato Ozawa1,

Kazuomi Kario2,

Ryota Tanaka*1

1Division of Neurology, Department of Medicine, Jichi Medical University,

2Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University

A Standardized Skin Punch Biopsy Protocol for Assessing Peripheral Nerve Pathology in Neurodegenerative Diseases

Renpei Sengoku*1

1Department of Neurology, The Jikei University West Medical Center

Autonomic Dysfunction Testing of the Visual System

Syunsuke Araki1,

Atsushi Miki*2

1Department of Orthoptics, Faculty of Rehabilitation, Kawasaki University of Medical Welfare,

2Department of Ophthalmology, Kawasaki Medical School

Clinical Assessment of Cutaneous Autonomic Function in Neurodegenerative Diseases: Sudomotor and Vasomotor Testing

Nobuyuki Araki*1

1Department of Neuorology Chiba University