Abstract
The goal of a thorough evaluation is to ascertain the presence of an autonomic dysfunction, determine its cause, extent, and severity, guide the treatment plan and judge its efficacy on follow up studies. A thoughtful approach should balance cost-effectiveness with a comprehensive evaluation. Pseudo autonomic manifestations can be the most difficult ones to be properly diagnosed. If unsure, better not to attach any label to a patient: think autonomic but not only autonomic.
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