Autonomic Dysfunction in Dizziness Clinic

Abstract

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. Keywords: Orthostatic dizziness; Orthostatic hypotension; Postural orthostatic tachycardia syndrome; Transcranial Doppler; Autonomic dysfunction 중심 단어: 기립어지럼, ê¸°ë¦½ì €í˜ˆì••, 기립자세빈맥증후군, 경두개도플러, ìžìœ¨ì‹ ê²½ë¶€ì „