Patient Condition
The 53-year-old patient developed unstable walking and dysuria, which worsened steadily. At the age of 54, multiple system atrophy (MSA-C, cerebellar type) was diagnosed. The total score of UMSARS at the time of diagnosis was 42 points (Part I 12 points, Part II 18 points, Part III 12 points), and the course of disease was 18 months. Autonomic nerve function: Blood pressure difference in supine and upright position is 45mmHg (systolic blood pressure drops from 140 to 95mmHg), urinary retention requires intermittent catheterization, and constipation is severe. Cerebellum function: Positive finger-nose test, ataxia in gait.