Ann Clin Neurophysiol.
2023 Apr;25(1):27-31. 10.14253/acn.2023.25.1.27.
Autonomic dysfunction in patients with orthostatic dizziness
- Affiliations
-
- 1Department of Neurology, Keimyung University School of Medicine, Daegu, Korea
- 2Department of Brain Research Institute, Keimyung University School of Medicine, Daegu, Korea
- KMID: 2541819
- DOI: http://doi.org/10.14253/acn.2023.25.1.27
Abstract
- Orthostatic dizziness is feeling dizzy or lightheaded when standing up. Hemodynamic orthostatic dizziness can be caused by autonomic dysfunction such as orthostatic hypotension or postural tachycardia syndrome. The interpretation of the autonomic function test results in patients with orthostatic dizziness is crucial for diagnosing and managing the underlying condition. The head-up tilt and Valsalva tests are especially important for evaluating adrenergic function in patients with hemodynamic orthostatic dizziness. However, it is important to note that autonomic function tests do not cover the entire diagnostic process, since their findings need to be considered along with the detailed history and physical examination results of the patient because various differential diagnoses exist for orthostatic dizziness. Ensuring appropriate treatment by interpreting the autonomic function test results can help to determine the improvement of and prevents falls from orthostatic dizziness.
