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Dysautonomia: Diagnosis and Management
1Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, KS 432, Boston, MA 02215, USA.
Neurologic Clinics
|November 18, 2022
Summary
Dysautonomias are diverse neurological disorders affecting autonomic function. This review details their causes, diagnosis, and treatments, including insights into long-COVID related autonomic issues.
Area of Science:
- Neurology
- Autonomic Nervous System Disorders
Background:
- Dysautonomias encompass a wide spectrum of disorders affecting autonomic function.
- Causes are diverse, including primary neurological conditions and secondary damage to the autonomic nervous system.
Purpose of the Study:
- To provide a comprehensive overview of dysautonomias.
- To cover common phenotypes, etiologies, diagnostic approaches, and treatments.
- To briefly discuss autonomic dysfunction in the context of COVID-19.
Main Methods:
- Literature review of dysautonomias.
- Synthesis of information on clinical presentation, causes, diagnostics, and therapeutics.
- Inclusion of recent findings on long-COVID and autonomic impairment.
Main Results:
- Detailed description of common dysautonomia phenotypes.
- Categorization of primary and secondary causes.
- Guidance on clinical workup and interpretation of autonomic function tests.
- Overview of first-line treatment strategies.
Conclusions:
- Dysautonomias require a systematic approach for diagnosis and management.
- Understanding the diverse causes is crucial for effective treatment.
- Autonomic dysfunction is a recognized complication of COVID-19.
Keywords:
Autonomic dysfunctionAutonomic nervous systemAutonomic neuropathyAutonomic testingDysautonomiaNeurogenic orthostatic hypotensionPostural orthostatic tachycardia syndromeTilt table testingMore Related Videos
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