Hello, I am wondering whether it is unusual for someone with autonomic dysfunction to have more difficulty with cognition than with movement. I have been diagnosed with neurocardiagenic syncope. I have some of the more typical symptoms: I have trouble standing still for more than a few minutes, trouble walking around when the temperature is over 80, I feel dizzy after going up a flight of stairs. However, it seems like I have a *light* case - I workout regularly and go on long runs a couple times a week, and I've never passed out. My chief complaint is with brain fog. I have trouble remembering things for short periods of time, I have trouble following directions, and I have poor concentration skills. I often seem to get OI symptoms while trying hard to focus - while reading, for example, I often become overwhelmingly tired and feel weak in the arms, but, just as often I recover 15-20 minutes after I stop trying to read and go do something else. I am looking to hear from other people with autonomic problems who have had, or are having, a similar experience. I would like to know about the history of your disorder, and whether anything has helped your brain fog. My neurologist doesn't seem to know anything whatsoever about dysautonomia and I've found journal articles to be vague. I have tried stimulant medications, strattera provigil, and guanfacine. Provigil helps me the most, because the other sitmulants cause anxiety. Guanfacine also helps a great deal, but it exacerbates the OI.
