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June 24, 2026Annals of Clinical Psychiatry

Autonomic Dysfunction in Psychiatric Disorders: Illustrative Clinical Cases

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Population

4 psychiatric patients evaluated on the consultation-liaison service at a tertiary care center in Lebanon

Design

Case_series

Key result

A retrospective review of 4 clinical cases highlighted the central role of autonomic dysfunction in the diagnosis and management of distinct neuropsychiatric syndromes.

Authors

ACAlfred ChabbouhYFYara El FrennRARoua Abbas

Discussion

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Overview

Autonomic dysfunction merits heightened clinical suspicion in psychiatric consultations; this review leaves open prospective validation of screening approaches.

Key Points

  • To highlight the clinical importance and diagnostic role of autonomic dysfunction in psychiatric patients through patient cases.
  • Retrospective chart review of 4 patients evaluated on a consultation liaison service at a tertiary care center in Lebanon between July 2023 and December 2025.
  • Each case featured a distinct neuropsychiatric syndrome associated with autonomic dysfunction.
  • Focus on diagnosis, investigation, and management strategies for the cases presented.
  • Cases identified included autonomic dysfunction related to neurodegenerative disease, malignant catatonia, benzodiazepine withdrawal, and Neuro-Sweet Syndrome.
  • Investigations and treatment recommendations were summarized for each syndrome, facilitating practical guidance for clinicians.
  • Highlights the critical need for awareness and diagnosis of autonomic dysfunction in specific psychiatric settings.

Study Design

Type

Case Report (n=4)

Multicenter

No

Structured PICO

P
Population
4 psychiatric patients evaluated on the consultation-liaison service at a tertiary care center in Lebanon
O
Outcome
Clinical presentation, diagnosis, and management of autonomic dysfunction

This case series highlights the importance of recognizing autonomic dysfunction in psychiatric patients to guide timely and targeted interventions.

Cite This Study

Chabbouh et al. (2026) conducted a case report in Autonomic dysfunction in psychiatric disorders (n=4). A retrospective review of 4 clinical cases highlighted the central role of autonomic dysfunction in the diagnosis and management of distinct neuropsychiatric syndromes.

synapsesocial.com/papers/6a3c2319d15afadd906f9ccbhttps://doi.org/10.1177/10401237261463741
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