Autonomic Disorders in Clinical Practice - Svetlana Blitshteyn, M.D.

Dr. Svetlana Blitshteyn, a neurologist specializing in autonomic disorders, discusses the complexities of diagnosing and managing disautonomia, including Postural Orthostatic Tachycardia Syndrome (POTS) and its comorbidities such as Mast Cell Activation Syndrome (MCAS). The discussion covers common autonomic disorders, their symptoms, diagnostic tests, and management strategies. Dr. Blitshteyn emphasizes the importance of recognizing small fiber neuropathy and autoimmune markers as key components in diagnosing these disorders. Detailed case studies highlight the need for comprehensive evaluations, including specific tests like tilt-table testing and minor salivary gland biopsy, particularly in patients with severe symptoms that do not respond to standard treatment. Dr. Blitshteyn also touches on the potential autoimmune and post-infectious factors contributing to autonomic disorders.