A state-of-the-art autonomic testing lab is available at Brigham and Women’s Faulkner Hospital. The lab offers some of the quickest, most comprehensive care available throughout New England.
Components of Autonomic Nervous System Testing:
Autonomic nervous system testing helps to determine the presence, severity and localization of autonomic dysfunction.
Includes: EKG, Sympathetic skin Response Test, Assessment of Heart Rate Variability to Deep Breathing, Evaluation of Hemodynamic Responses to Valsalva Maneuver, Tilt Table Test and Active Stand
Through these battery of tests, sudomotor, cardiovagal and adrenergic function are characterized. Non-invasive monitoring of beat-to-beat blood pressure and heart rate is performed throughout the test. Simultaneous EEG monitoring is an option if seizure vs. syncope is of concern.
Autonomic testing assists physicians with the diagnosis, evaluation and treatment of:
Poor hemodynamic compensation
Bladder and bowel dysfunction
Assessment of dysautonomia in patients with diagnosis of Parkinson’s disease
Monitoring disease progression of autonomic disorders and response to treatment
Differentiation of psychogenic from organic conditions
Evaluation of syncopal seizures
All autonomic studies will be interpreted and available within two weeks of the completed study.
Complete this form and check the autonomic test series, then fax the form back to us at 617-983-7162.
We do not administer any medication during testing. However, for the skin biopsy we do give a Lidocaine injection to numb the sites we take the sample from. If patients are allergic to Lidocaine we do offer a cold spray to freeze the area before taking the sample.
Avoid drinking alcohol, caffeinated beverages and smoking one day prior to testing. You can have a normal meal before testing. Do not use lotion or oils on legs or arms day of testing. Wear a loose fitting short-sleeve top and bring a change of shorts. Ask your physician about what medications you should stop taking before testing.
The skin biopsy is 2 to 3mm wide and deep, it does not require stitching, just a regular bandage. You will not be able to submerge the biopsy sight in water for 1 week so please schedule testing accordingly.
Yes, we recommend checking with your insurance company prior to testing to ensure the procedure is covered and the facility is in network. For procedure codes and/or NPI numbers please call 617-983-7104.
Lidocaine is the only medication we give topically for the skin biopsy. If a patient is allergic to Lidocaine we have an Epinephrine-free alternative or we use the cold spray. For patients with Latex allergies we offer Latex-free dressings like paper tape, etc.