Clinical Evaluation of Autonomic Disorders

Paola Sandroni

Research output: Chapter in Book/Report/Conference proceedingChapter

5 Scopus citations

Abstract

This chapter presents clinical evaluation of autonomic disorders and assessment through bedside and laboratory testing. A preliminary evaluation can be easily done at the bedside, at least for the most disabling symptom of autonomic dysfunction. Significant decrement in BP without compensatory tachycardia is needless to say much worse prognostically than marked tachycardia without significant BP changes. Secretomotor and sudomotor functions may be assessed simply by observation of the mucosae and by appreciating presence of moisture on the skin by palpation or by dragging a metal object on the skin. Hyperhidrosis may be appreciated quite easily, as sweat droplets over the skin, visibly wet garments or as wet stains in shoes. Occasionally, when the nature of the spells is unclear despite many investigations, simultaneous EEG monitoring may identify an ictal bradycardia or asystole and on the other hand provide confirmation that convulsive manifestations not uncommonly seen in syncope are secondary to the hemodynamic changes.

Original languageEnglish (US)
Title of host publicationPrimer on the Autonomic Nervous System
PublisherElsevier Inc.
Pages377-382
Number of pages6
ISBN (Print)9780123865250
DOIs
StatePublished - Dec 1 2012

Keywords

  • Autonomic disorders
  • Autonomic nervous system assessment/evaluation
  • Autonomic nervous system disease/diagnosis
  • Autonomic testing

ASJC Scopus subject areas

  • Neuroscience(all)

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  • Cite this

    Sandroni, P. (2012). Clinical Evaluation of Autonomic Disorders. In Primer on the Autonomic Nervous System (pp. 377-382). Elsevier Inc.. https://doi.org/10.1016/B978-0-12-386525-0.00078-0