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Dysautonomia: an Explanation for the Medically Unexplained?
Senthil Chandrasekaram1, Ranga H Fernando2, Vikram Aarella1
1Department of Endocrinology and Diabetes, King's Mill Hospital, Sherwood Forest Hospital NHS Foundation Trust, Sutton-in-Ashfield, UK.
European Journal of Case Reports in Internal Medicine
|February 14, 2019
Summary
Dysautonomia, a group of conditions often mistaken for unexplained symptoms, can be diagnosed using tilt table testing and 24-hour ECG monitoring. Early recognition and diagnosis improve patient quality of life.
Area of Science:
- Neurology
- Cardiology
- Autonomic Nervous System Disorders
Background:
- Dysautonomia presents variably and can be misdiagnosed as medically unexplained symptoms.
- Recognizing dysautonomia is crucial for effective patient management and improving quality of life.
Purpose of the Study:
- To identify dysautonomia as a distinct set of conditions.
- To highlight diagnostic methods for dysautonomia.
- To emphasize the importance of recognizing dysautonomia's impact on patients.
Main Methods:
- A case series approach was employed.
- Tilt table testing was utilized for diagnosis.
- 24-hour electrocardiographic monitoring was performed.
Main Results:
- Tilt table testing proved effective in diagnosing dysautonomia.
- 24-hour electrocardiographic monitoring aided in confirming the diagnosis.
- The study identified key diagnostic tools for dysautonomia.
Conclusions:
- Increased clinician awareness of dysautonomia is necessary.
- Prompt diagnosis and management of dysautonomia can lead to symptomatic improvement.
- Recognizing the disability associated with dysautonomia is vital for enhancing patients' quality of life.
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