EN
The autonomic impairment, which is the frequent complication of end-stage renal failure, may eventually trigger numerous cripping consequences.It is doubtful if standard dialysis techiques may effectively treat once developed autonomic lesions.Renal transplantation seems to be much more efficient.The article points out the discrepancies in symptoms attributable to autonomic impairment and results of autonomic testing, discussed also differences between somatic and autonomic nervous system involvement in uremic patients.The one of the most important part of the article describes the practical approach to the patient with severely symptomatic uremic autonomic neuropathy.Finally the autors articulate their proposals for further research on uremic autonomic neuropathy.