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An Approach to a Patient with Suspected Autonomic and Sleep Dysfunction

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Autonomic Nervous System and Sleep

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Abstract

This chapter briefly outlines the steps for an approach to a patient presenting with symptoms suggestive of autonomic dysfunction with or without sleep complaints.

The approach to a diagnosis must be followed in a logical manner for optimal care of the patients. The first step is a detailed history from the patient and the caregiver followed by physical examination of the patient as a whole including all body systems and must also include specific autonomic examination at the bedside or the clinics. Next step is to order appropriate autonomic function and other laboratory tests for confirming the clinical diagnosis. One must also formulate a differential diagnosis to differentiate from the mimics. Final step is addressing the principles of therapy (both drug and nondrug treatment). In nine subsections, I have outlined all the steps in a systematic manner to address how to approach a patient with a possible diagnosis of dysautonomia.

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Authors and Affiliations

  1. Hackensack Meridian Health, Neuroscience Institute at JFK, JFK University Medical Center, Edison, NJ, USA

    Sudhansu Chokroverty

  2. Seton Hall University & Hackensack Meridian School of Medicine at Seton Hall, South Orange, NJ, USA

    Sudhansu Chokroverty

  3. Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Sudhansu Chokroverty

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  1. Sudhansu Chokroverty
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Correspondence to Sudhansu Chokroverty .

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Editors and Affiliations

  1. School of Graduate Medical Education, Seton Hall University, South Orange, NJ, USA

    Sudhansu Chokroverty

  2. IRCCS-ISNB, PADG1, Osp Bellaria - Pad G1, DIBINEM University of Bologna, Bologna, Italy

    Pietro Cortelli

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Chokroverty, S. (2021). An Approach to a Patient with Suspected Autonomic and Sleep Dysfunction. In: Chokroverty, S., Cortelli, P. (eds) Autonomic Nervous System and Sleep. Springer, Cham. https://doi.org/10.1007/978-3-030-62263-3_12

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  • DOI: https://doi.org/10.1007/978-3-030-62263-3_12

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