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- Autonomic Dysfunction in Dizziness Clinic
- Eun Bin Cho, Ki-Jong Park
- Res Vestib Sci. 2018;17(2):37-43. Published online June 15, 2018
- DOI: https://doi.org/10.21790/rvs.2018.17.2.37
- 8,266 View
- 214 Download
- 2 Crossref
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Abstract
PDF - Orthostatic dizziness is a common type of dizziness. In general, orthostatic dizziness is provoked by standing or tilting, and subsided by supine position. The patient with orthostatic intolerance complains multiple symptoms such as dizziness, palpitation, lightheadness, fatigue and rarely syncope. Common orthostatic intolerance is orthostatic hypotension (classic, initial, transient, and delayed orthostatic hypotension) and postural orthostatic tachycardia syndrome. Transcranial Doppler is a noninvasive technique that provides real-time measurement of cerebral blood flow velocity. It can be useful for understanding the relationship between orthostatic symptoms and cerebral autoregulatory function. The reciprocal causal relationship between vestibular and autonomic dysfunction should always be kept in mind.
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Citations
Citations to this article as recorded by
- A Study on the Characteristics of Patients Treated for Dizziness with Jeoreongchajeonja-tang: A Retrospective Analysis of 63 Cases
Nu-ri Jung, Ki-tae Kim, Seon-mi Shin, Heung Ko
The Journal of Internal Korean Medicine.2019; 40(6): 1122. CrossRef - Pitfalls in the Diagnosis of Vertigo
Hyun Ah Kim, Hyung Lee
Journal of the Korean Neurological Association.2018; 36(4): 280. CrossRef
- A Study on the Characteristics of Patients Treated for Dizziness with Jeoreongchajeonja-tang: A Retrospective Analysis of 63 Cases
Symposium I
- Near Faint and Autonomic Symptoms
- Hyun Ah Kim
- Res Vestib Sci. 2013;12:S41-S45. Published online June 1, 2013
- 964 View
- 18 Download
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Abstract
PDF
- Orthostatic or autonomic dizziness is a common complaint in patient who seeking dizzy clinic. Patients with autonomic dizziness presented their dizziness as nonvertiginous dizziness, light-headedness, or fogginess in the head, which are usually exacerbated by physical exertion (but not specific changes in head position), straining (e.g., the Valsalva manuver), and orthostatic challenges. Orthostatic hypotension and postural orthostatic tachycardia syndrome are two common causes of autonomic dizziness. Because the vestibular system influences both respiratory and cardiovascular control, damage to the central or peripheral vestibular system also can cause to compromise the ability to adjust breathing and blood pressure during movement and changes in posture. Here the author reviews the clinical features of autonomic dizziness from various causes.
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