I did a quick search of some of what Dr. Sclafani posted previously on the autonomic nervous system. This was back in 2010.
drsclafani wrote:The manifestations of MS depend upon which neural tissue is demyelinated. Some have weakness, some have sensory to one area, others to another ara.
I suspect that the cold hands and feet may be a manifestation of sensory damage OR due to damage of the autonomic nervous system that controls constriction of the blood vessels, sweating, etc.
The other day, one of my patients told me that immediately after her treatment her hands were sweating, something that she had not done in many years. The speed of the effect suggests placebo or a vascular autonomic effect. Sometimes vasoconstricting to reduce blood flow and feeling quite cool, othertimes vasodilating and increasing blood flow and feeling quite warm
drsclafani wrote:the impact of MS on the autonomic nervous system is well known. While other autonomic dysfunctions, such as bladder, bowel and sweating disorders, are more common, or more commonly recognized, effects on cardiac rhythm are well known. The first case of atrial fibrillation during an exacerbation of MS was reported in 1986.
[...] The only complication my patients have had during liberations i have performed (it seems in another lifetime before I got more heavily involved as a writer ) was a young man in early 30s who developed atrial fibrillation immediately after liberation. I suspected a profound change in his autonomic nervous system occured during liberation. the AF reverted to normal within 12 hours but he has been the only patient to need unplanned admission.
hope this helps
A profound change in autonomic nervous system occurred during the procedure. Caused by normalization of cerebral blood flow? Caused by normalization of cerebrospinal fluid flow? Caused by vagus nerve compression?