Evaluating Cerebral Perfusion with Head Positioning #pots #dysautonomia #concussion #vestibular

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Symptoms such as increased heart rate, ringing in the ears, blurred vision, or feeling lightheaded or dizzy can occur when changing the position of the head (looking side to side or up and down). These symptoms may be caused by decreased blood flow to the brain (decreased cerebral perfusion) due to the position of the neck. To evaluate this, a transcranial Doppler is used to measure blood flow to the head while the patient moves their neck into different positions. This approach allows identifying the mechanism causing the symptoms, rather than just observing the symptoms themselves.

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