Autonomic Function Test

If you're sick without explanation,
your autonomic nervous system needs testing

Have you been told that tests show "nothing wrong"?
Functional autonomic disorders can only be detected with specialized tests. OSANG Neurosurgery identifies hidden causes through 6 systematic diagnostic tests.

Test Process

OSANG Neurosurgery Diagnostic Process

Tests are selected and customized based on each patient's symptoms.

01

Medical Interview

We assess symptom patterns, onset timing, and lifestyle habits

02

Autonomic Function Tests

Quantitative analysis of autonomic status via Tilt Table, Valsalva, and HRV

03

EEG & Thermal Imaging

EEG and DITI assess brain function and autonomic nerve distribution

04

Results & Treatment Plan

Comprehensive analysis of test results to design a personalized treatment plan

Core Tests

Autonomic Nervous System Tests

Core tests that objectively measure the balance between sympathetic and parasympathetic nervous systems.

01

Tilt Table Test

Head-Up Tilt Test

02

Autonomic Reflex Test

Valsalva Maneuver

03

Autonomic Function Test

HRV Resting Analysis

01

Autonomic Function Test

Tilt Table Test

Head-Up Tilt Table Test

The patient lies on a table that is tilted up to 70 degrees to simulate an upright position. Blood pressure, heart rate, and symptom changes are monitored in real time during postural changes to diagnose orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), and vasovagal syncope.

  • Differentiates causes of dizziness and vision blackout upon standing
  • Continuous blood pressure and heart rate monitoring for objective data
  • Test duration approximately 30-45 minutes

02

Autonomic Function Test

Valsalva Maneuver Test

Autonomic Reflex Test

Blood pressure and heart rate changes are analyzed while the patient exhales against a fixed pressure. The reflex functions of the sympathetic and parasympathetic nervous systems are evaluated in 4 phases to quantify the degree of autonomic nerve damage.

  • Integrated assessment of sympathetic and parasympathetic reflex pathways
  • Essential for determining the severity of autonomic nerve damage
  • Non-invasive test, approximately 10-15 minutes

03

Autonomic Function Test

HRV Resting Analysis

Heart Rate Variability — Resting Analysis

Micro-variations in heartbeat intervals at rest are analyzed to numerically determine the activity ratio between sympathetic and parasympathetic nervous systems. Stress index, autonomic balance score, and biological age are calculated.

  • Quantification of sympathetic/parasympathetic activity ratio (LF/HF ratio)
  • Objective indicator of chronic stress and fatigue
  • Used to track progress before and after treatment

04

Brain Function Test

EEG (Electroencephalogram)

Electroencephalogram

Electrodes are placed on the scalp to record the brain's electrical activity. This identifies brainwave imbalances, hyperarousal patterns, and sleep-related abnormalities commonly seen in dysautonomia patients, helping to determine treatment direction.

  • Brain function assessment through alpha, beta, and theta wave distribution
  • Objective evidence for anxiety, insomnia, and concentration difficulties
  • Used for Transcranial Magnetic Stimulation (TMS) treatment planning

05

Thermal Analysis

DITI (Digital Infrared Thermal Imaging)

Digital Infrared Thermal Imaging

Infrared radiation emitted from the body is detected to create thermal images of the body surface temperature distribution. This visually identifies left-right asymmetries and abnormal patterns in blood flow and body temperature regulated by the autonomic nervous system, helping to locate pain areas and regions of autonomic dysfunction.

  • Visualization of peripheral blood flow controlled by the autonomic nervous system
  • Left-right temperature asymmetry helps estimate nerve damage locations
  • Non-contact, radiation-free — completely safe test

06

Blood Analysis

Blood Test Panel

Comprehensive Blood Test Panel

This test screens for other conditions that can cause symptoms similar to dysautonomia, such as thyroid disorders, anemia, diabetes, and vitamin deficiencies. By ruling out underlying conditions, we can focus on autonomic dysfunction and reach an accurate diagnosis.

  • Checks thyroid function, blood sugar, electrolytes, and anemia levels
  • Screens for vitamin D, B12, and other deficiencies
  • Differential diagnosis of similar conditions improves diagnostic accuracy

FAQ

Frequently Asked Questions

We systematically perform Tilt Table Test, Valsalva Maneuver Test, HRV (Heart Rate Variability) analysis, EEG (Electroencephalogram), DITI (Digital Infrared Thermal Imaging), and blood tests. Tests are combined based on each patient's symptoms.

The full testing process takes approximately 1-2 hours. Required test items may vary depending on individual conditions, and customized testing is arranged after specialist consultation.

Please avoid caffeine before testing and wear comfortable clothing. If you are taking any medications, please inform us in advance.

Regular health checkups examine structural abnormalities of organs. Autonomic function tests evaluate the 'functional' state of the nervous system, so autonomic imbalances can be detected even when standard tests show normal results.

Basic consultations and some tests are covered by Korean national health insurance. Certain detailed test items may include non-covered components. Please contact us by phone before your visit for cost details.

Consultation

Consultation Request

Please briefly describe your symptoms and we will contact you shortly.

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