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 language | English (US) |
|---|---|
| Title of host publication | Primer on the Autonomic Nervous System |
| Publisher | Elsevier Inc. |
| Pages | 377-382 |
| Number of pages | 6 |
| ISBN (Print) | 9780123865250 |
| DOIs | |
| State | Published - 2012 |
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Keywords
- Autonomic disorders
- Autonomic nervous system assessment/evaluation
- Autonomic nervous system disease/diagnosis
- Autonomic testing
ASJC Scopus subject areas
- Neuroscience(all)
Cite this
Clinical Evaluation of Autonomic Disorders. / Sandroni, Paola.
Primer on the Autonomic Nervous System. Elsevier Inc., 2012. p. 377-382.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Clinical Evaluation of Autonomic Disorders
AU - Sandroni, Paola
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Autonomic disorders
KW - Autonomic nervous system assessment/evaluation
KW - Autonomic nervous system disease/diagnosis
KW - Autonomic testing
UR - http://www.scopus.com/inward/record.url?scp=84870484327&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870484327&partnerID=8YFLogxK
U2 - 10.1016/B978-0-12-386525-0.00078-0
DO - 10.1016/B978-0-12-386525-0.00078-0
M3 - Chapter
AN - SCOPUS:84870484327
SN - 9780123865250
SP - 377
EP - 382
BT - Primer on the Autonomic Nervous System
PB - Elsevier Inc.
ER -