Multiple System Atrophy

Multiple system atrophy (MSA) is a rare, progressive neurodegenerative disorder with symptom presentation similar to Parkinson disease and Lewy body dementia. Currently, diagnosis is clinical, and there are no treatments that slow the disease course. Disease management is dependent on a well-coordin...

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Bibliographic Details
Published in:Journal for nurse practitioners 2022-10, Vol.18 (9), p.951-956
Main Author: Bagchi, Ann D.
Format: Article
Language:English
Subjects:
Atrophy
Autopsies
Blood pressure
Care coordinators
Continuity of care
Dementia
Disease management
Dopamine
End of life decisions
Laboratories
Medical diagnosis
Medical personnel
Medical prognosis
Movement disorders
Multidisciplinary teams
multiple system atrophy
Nurse practitioners
Orthostatic hypotension
Palliative care
Parkinson's disease
Patients
Quality of life
Systemic diseases
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Summary:Multiple system atrophy (MSA) is a rare, progressive neurodegenerative disorder with symptom presentation similar to Parkinson disease and Lewy body dementia. Currently, diagnosis is clinical, and there are no treatments that slow the disease course. Disease management is dependent on a well-coordinated, multidisciplinary team. Nurse practitioners often see the earliest manifestations of disease and are ideally positioned to serve as care coordinators and to oversee end-of-life services. However, awareness of MSA is limited among medical professionals. An overview is provided of MSA diagnosis and management, with particular emphasis on the critical role of early initiation of palliative care services. •Awareness of multiple system atrophy (MSA) is low among health care professionals.•Delayed diagnosis of MSA can lead to unnecessary patient suffering.•Increased awareness of MSA among nurse practitioners can improve the differential diagnosis and the early initiation of critical palliative care.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2022.07.007