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The Extended Autonomic Nervous System: It’s All Connected

Introduction For those of you who have read our previous blog post about dysautonomia, you will be familiar with what the autonomic nervous system is and its main components. Traditionally, the autonomic nervous system(ANS) is the aspect of our nervous system that is “autonomic.” It is responsible for controlling aspects of body function that we…
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POTS vs. IST: A Detailed Look Through the Lens of Functional Neurology

Tachycardia, dizziness, fatigue, pain, shortness of breath, anxiety and more can all be symptoms of a condition called Postural Orthostatic Tachycardia Syndrome (POTS) and they can also be symptoms of a condition called Inappropriate Sinus Tachycardia (IST). So, what is the difference? The diagnosis of IST is a diagnosis of exclusion, which means that other…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 21-year-old male presented with a diagnosis of POTS. Symptoms included syncope, dizziness, lightheadedness, extreme fatigue, digestive complaints, and joint pain. He was having 1-3 syncopal episodes a day. Examination and Diagnosis A neurological examination revealed pontomedullary and central vestibular dysfunction. Treatment The patient was initially treated 3x a week for 1 hour visits…
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Case Study: Vasovagal Syncope

Introduction A 13-year-old male presented with vasovagal syncope. Symptoms included drop attacks, pre-syncope, fatigue, headaches, and anxiety. Examination and Diagnosis A neurological examination revealed brainstem, central vestibular, cervical dysfunction, and Celiacs disease. Treatment The patient was initially treated 3x per week for 1 hour visits over 5 consecutive weeks. Visits included tilt table therapy, BEMER…
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Case Study: Autonomic Dysfunction

Introduction An adult female presented with autonomic dysfunction following exposure to toxic mold. Her chief complaints were extreme fatigue, tachycardia, pre-syncope, dizziness, anxiety and weakness in her legs. Examination and Diagnosis A neurological examination revealed ponto-medullary dysfunction and euthyroid hashimotos. Treatment The patient was initially treated 2x per week for 30 minutes over 6 consecutive…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 29-year-old female presented with symptoms of tachycardia especially when changing positions, chest tightness/ squeezing, balance issues/ feeling like she was “on a boat,” upper back and neck pain, shakiness, anxiety and fatigue.  Examination and Diagnosis A neurological examination revealed Postural Orthostatic Tachycarida Syndrome (POTS) having an elevation in her heart rate against gravity…
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Case Study: Vasovagal Syncope

Introduction A 39-year-old female presented with vasovagal syncope. She was having syncope “fainting” episodes 4-5x per week. These episodes mostly came without warning. She also suffered from migraines, GI issues and fatigue. The patient had recently been put on daily Sudafed to help syncope episodes, which seemed to be helping. Examination and Diagnosis A neurological…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 38-year-old female presented with Postural Orthostatic Tachycardia Syndrome (POTS) for a year and a half. Her chief complaints were tachycardia, fatigue, anxiety, constipation and exercise intolerance. She was put on Florinef, Citalopram, salt sticks, and metoprolol. Examination and Diagnosis A neurological examination revealed a right-sided ponto-medullary deficit. Treatment The patient was initially treated…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 23-year-old female presented with Postural Orthostatic Tachycardia Syndrome (POTS) for the past 6 years. Her chief complaints were fatigue, tachycardia, pre-syncope, dizziness, pain and migraines. Examination and Diagnosis A neurological examination revealed ponto-medullary dysfunction. Treatment The patient was initially treated 2x per week for 1 hour over 7 consecutive weeks. Visits included neuromodulation…
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Developing postural orthostatic tachycardia syndrome - POTS

COVID-19 Patients Developing POTS

There is still a lot to learn about COVID-19 and the lasting impacts the virus has on individuals. One long-term effect that is quickly making headlines is the development of postural orthostatic tachycardia syndrome (POTS).  Viruses, like COVID-19, are a common cause of POTS. Awareness of this syndrome is important so that you can recognize…
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