Autonomic dysfunction (orthostatic dizziness, syncope)

Syncope — the injury from falling is more dangerous than the dizziness

Syncope — the injury from falling is more dangerous than the dizziness — Source: 기립경사검사 — 자세를 바꾸며 혈압·맥박 반응을 기록합니다

Source : 기립경사검사 — 자세를 바꾸며 혈압·맥박 반응을 기록합니다

When blood vessels fail to constrict in time as you rise from lying down, blood flow to the brain momentarily falls short.

Vision blacks out and you feel faint; in severe cases consciousness is lost and you collapse.

The tilt table test establishes whether it is orthostatic hypotension or postural tachycardia, and management differs accordingly.

Recurrent fainting, fainting with injury from the fall, and fainting during exercise in particular may be cardiac in origin and must first be excluded by ECG. Since the injury from falling is more dangerous than the faint itself, do not put off finding out why.

Autonomic Dysfunction, what kind of condition is it?

The autonomic nervous system regulates blood pressure, pulse, body temperature, and digestion without our awareness. When that regulation falters, blood vessels fail to constrict in time as you rise from lying down; blood flow to the brain briefly falls short, and you experience blacking out or light-headedness. Management differs depending on whether this is orthostatic hypotension, where blood pressure drops on standing, or postural tachycardia, where blood pressure holds but the pulse rises sharply — a tilt table test distinguishes the two. The foundation of management is increasing fluid and salt intake, correcting how you rise in stages, and strengthening the leg muscles.

In-clinic Tilt table test · Autonomic Function Test · ECG and blood tests Testing identifies the cause the same day, and
Canalith repositioning · vestibular rehabilitation · autonomic nerve injection — we select only what is needed and proceed step by step.

※ This is general medical information provided for understanding only. Actual diagnosis and treatment are determined by a specialist after examination, based on the individual patient's condition.

Advanced Equipment

  • SIEMENS3T AI MRIWe add AI imaging (Deep Resolve) to a proven Siemens 3T MRI to examine neurological conditions faster and more clearly.
  • MRACerebrovascular and carotid MRAIt accurately evaluates the degree of atherosclerosis, stenosis, structural abnormality, and the presence of aneurysm in the vessels of the brain and neck.
  • Carotid USCarotid UltrasoundCarotid wall thickness and plaque are examined to assess stroke risk.
  • NCS / EMGNerve conduction studiesNerves in the arms, legs, and face are safely stimulated electrically and the responses recorded, establishing whether peripheral nerve damage is present and how severe it is.
  • EPEvoked potential testBy safely stimulating the visual and auditory pathways electrically, damage to the cranial nerves can be identified.
  • EEGAI digital EEGBeyond the conventional identification of epileptiform waveforms, quantitative EEG with the latest AI software aids in assessing brain function in headache, anxiety, and depression.
  • VNGVideo nystagmographyBy recording and analyzing involuntary eye movement on video, this test is useful for distinguishing dizziness disorders such as BPPV and Meniere's disease.
  • HRV / SSRAutonomic Function TestEquipment that objectively assesses the balance between the body's sympathetic and parasympathetic nerves.
  • PWV / ABIArterial elasticity testingBy measuring vessel elasticity and the degree of atherosclerosis, it readily assesses the risk of circulatory disturbance and cardiovascular or cerebrovascular disease.
  • Wearable ECG/BPWearable cardiac function testingA micro-sensor continuously analyzes blood pressure and ECG over 24 hours to identify cardiac dysfunction capable of causing a stroke.
  • SNSB / CERADNeuropsychological testingIt distinguishes simple forgetfulness from dementia and objectively evaluates cognitive function including memory.
  • LABBlood and genetic testingWe identify risk factors for cardiovascular and cerebrovascular disease, including dyslipidemia, and look for high-risk dementia genes in advance so that prevention can begin.