$Unique_ID{BRK04041} $Pretitle{} $Title{Neurasthenia} $Subject{Neurasthenia Cardiac Neurosis Chronic Asthenia Da Costa's Syndrome Effort Syndrome Functional Cardiovascular Disease Irritable Heart Nervosism Neurocirculatory Asthenia Soldier's Heart Subacute Asthenia Weak Nerves Angiopathic Neurasthenia Angioparalytic Neurasthenia Pulsating Neurasthenia Gastric Neurasthenia Neurasthenia Gravis Neurasthenia Precox Primary Neurasthenia Hyperthyroidism Myalgic Encephalomyelitis Myasthenia Gravis Panic-Anxiety Syndrome } $Volume{} $Log{} Copyright (C) 1991 National Organization for Rare Disorders, Inc. 831: Neurasthenia ** IMPORTANT ** It is possible that the main title of the article (Neurasthenia) is not the name you expected. Please check the SYNONYM listing to find the alternate names and disorder subdivisions covered by this article. Synonyms Cardiac Neurosis Chronic Asthenia Da Costa's Syndrome Effort Syndrome Functional Cardiovascular Disease Irritable Heart Nervosism Neurocirculatory Asthenia Soldier's Heart Subacute Asthenia Weak Nerves Disorder Subdivisions: Angiopathic Neurasthenia (also called Angioparalytic Neurasthenia, or Pulsating Neurasthenia) Gastric Neurasthenia Neurasthenia Gravis Neurasthenia Precox (or Primary Neurasthenia) Information on the following disorders can be found in the Related Disorders section of this report: Hyperthyroidism Myalgic Encephalomyelitis Myasthenia Gravis Panic-Anxiety Syndrome General Discussion ** REMINDER ** The information contained in the Rare Disease Database is provided for educational purposes only. It should not be used for diagnostic or treatment purposes. If you wish to obtain more information about this disorder, please contact your personal physician and/or the agencies listed in the "Resources" section of this report. Neurasthenia is a mental disorder triggered by stress or anxiety. Symptoms may include weakness or fatigue, which may be accompanied by chest pain. A rapid intense heartbeat which may be irregular (palpitations, tachycardia), and/or cold, clammy hands and feet may also be present. Breathing too fast (hyperventilating), feeling dizzy or faint, sighing periodically, or sweating for no apparent reason may also occur. Symptoms Major symptoms of Neurasthenia include a feeling of weakness or fatigue, which may be accompanied by chest pain. A rapid intense heartbeat which may be irregular (palpitations, tachycardia) can occur. The individual may have cold, clammy hands and feet. Hyperventilation causes a dizzy or faint feeling. Sighing periodically, or sweating for no reason are other symptoms of Neurasthenia. It may occur along with or after depression or other psychological disorders. Angiopathic Neurasthenia (also called Angioparalytic Neurasthenia, or Pulsating Neurasthenia) refers to a mild form of Neurasthenia in which the patient feels a pulsing or throbbing sensation throughout the entire body. Gastric Neurasthenia is a mild form of Neurasthenia accompanied by digestive dysfunction and stomach enlargement (distention), and by indigestion (dyspepsia). Neurasthenia Gravis refers to an extreme and persistent form of Neurasthenia. Neurasthenia Precox (or Primary Neurasthenia) tends to occur most often in adolescents and is characterized by nervous exhaustion. Causes Neurasthenia is a mental disorder caused by emotional stress or anxiety. It is not caused by any underlying physical (organic) problems even though physical discomfort can be present. Affected Population Neurasthenia is a fairly common disorder which may occur in childhood, adolescence or adulthood. It affects males and females in equal numbers. Related Disorders Symptoms of the following disorders can be similar to those of Neurasthenia. Comparisons may be useful for a differential diagnosis: In Hyperthyroidism, the thyroid gland is overactive and produces an excessive amount of thyroid hormones. Symptoms may include sweating, nervousness, emotional instability, fatigue, insomnia, increased appetite, weight loss, or diarrhea. A rapid heartbeat (tachycardia) or rapid twitching of the muscle of the heart's upper chambers (atrial fibrillation) may occur. Other symptoms may include sensitivity to heat (heat intolerance), trembling of the hands, or muscle weakness. A slight swelling in the neck just below the Adam's apple (due to thyroid gland enlargement), warm smooth skin, or bulging of the eyes (exophthalmos) may be present. In older people depression or heart failure may occur. A blood test for hyperthyroidism can rule it out as a cause for Neurasthenia. (For more information on disorders of the thyroid, choose "thyroid" as your search term in the Rare Disease Database). Myalgic Encephalomyelitis is thought to be an infectious disorder affecting the central, peripheral and autonomic nervous systems and the muscles. Major symptoms may include general exhaustion, headache, muscle pain, weakness, and possible mental changes. The exact cause of this disorder is unknown, but researchers believe a virus associated with an immune system abnormality may be responsible. Adults are most commonly affected, with more cases seen in females than in males. (For more information on this disorder, choose "Myalgic Encephalomyelitis" as your search term in the Rare Disease Database). Myasthenia Gravis (MG) is a chronic neuromuscular disease characterized by weakness and abnormally rapid fatigue of the voluntary muscles, with improvement following rest. Any group of muscles may be affected, but those around the eyes and the muscles used for swallowing are the most commonly involved. In the majority of cases, the course of the disease is punctuated with periods of greater and lesser weakness. Short term aggravation of symptoms can be provoked by a host of factors, including excessive physical activity, emotional upset, menstruation, and pregnancy. Complete spontaneous disappearance of symptoms has been reported in rare instances. (For more information on this disorder, choose "Myasthenia Gravis" as your search term in the Rare Disease Database). The main feature of Panic-Anxiety Syndrome is the recurrence of panic attacks. Psychological symptoms may include intense apprehension, unreasonable fear of dying or impending doom, fear of becoming insane, or dread of losing control of the self. Physical manifestations are generally those commonly associated with panic or anxiety such as difficulty in breathing, irregular heartbeat, sweating, trembling and faintness. In addition, patients may experience chest pain, feelings of unreality, abnormal sensations (burning or pricking), dizziness, or hot and cold flashes. The symptoms usually become apparent in late adolescence or early adulthood. Attacks, which can occur at any time, usually last only minutes, though in rare cases they may last hours. (For more information on this disorder, choose "Panic-Anxiety" as your search term in the Rare Disease Database). Therapies: Standard Testing can be done to rule out any underlying physical (organic) causes that might lead to the symptoms of Neurasthenia. Treatment includes reassuring the patient that the symptoms are not due to any physical (organic) causes. Counseling will be of benefit to the patient in learning how to control feelings of stress and anxiety. If necessary, biofeedback, sedatives or tranquilizers may be prescribed. Therapies: Investigational This disease entry is based upon medical information available through January 1991. Since NORD's resources are limited, it is not possible to keep every entry in the Rare Disease Database completely current and accurate. Please check with the agencies listed in the Resources section for the most current information about this disorder. Resources For more information on Neurasthenia, please contact: National Organization for Rare Disorders (NORD) P.O. Box 8923 New Fairfield, CT 06812-1783 (203) 746-6518 National Mental Health Association 1021 Prince Street Alexandria, VA 22314 (703) 684-7722 National Alliance for the Mentally Ill 1901 N. Fort Meyer Dr., Suite 500 Arlington, VA 22209 (703) 524-7600 National Mental Health Consumer Self-Help Clearinghouse 311 S. Juniper St., Rm. 902 Philadelphia, PA 19107 (215) 735-2481 NIH/National Institute of Mental Health (NIMH) 9000 Rockville Pike Bethesda, MD 20205 (301) 443-4515 or (301) 496-1752 (800) 421-4211 (24 hrs.) References CECIL TEXTBOOK OF MEDICINE, 18th Ed.: James B. Wyngaarden, and Lloyd H. Smith, Jr., Editors; W.B. Saunders Co., 1988. Pp. 1322, 1324, 2124-2125, 2286. INTERNAL MEDICINE, 2nd Ed.: Jay H. Stein, ed.-in-chief; Little, Brown and Co., 1987. Pp. 374-375. THE MERCK MANUAL, Volume 1, 15th Ed.: Robert Berkow, M.D., ed.-in-chief; Merck, Sharp, and Dohme Laboratories, 1987. Pp. 345. FEELINGS OF FATIGUE AND PSYCHOPATHOLOGY: A CONCEPTUAL HISTORY. G.E. Berrios; Compr Psychiatry (Mar-Apr 1990; issue 31 (2)). Pp. 140-151. OLD WINE IN NEW BOTTLES: NEURASTHENIA AND 'ME'. S. Wessely; Psychol Med (Feb 1990; issue 20 (1)). Pp. 35-53. NEURASTHENIA IN THE 1980's: CHRONIC MONONUCLEOSIS, CHRONIC FATIGUE SYNDROME, AND ANXIETY AND DEPRESSIVE DISORDERS. D. B. Greenberg; Psychosomatics (Spring 1990; issue 31 (2)). Pp. 129-137.