Event Abstract

Cyclical daily vomiting following a mild traumatic brain injury.

  • 1 Nathan Keiser DC, LLC, United States
  • 2 Carrick Institute, United States

Objective: The purpose of this case study is to describe the symptomatology and neurological improvement in a patient suffering from an acute mild traumatic brain injury (mTBI) following an intensive multi-modal neuro-rehabilitative program. Clinical Features: A 24 -year-old male presented with a history of multiple concussions and a current mild TBI after experiencing a loss of consciousness in the shower, striking his head 10 days prior. Noted symptomatology included the following: Cyclical daily vomiting, nausea, fatigue, dizziness, headaches, paresthesia, photophobia, hyperacusis, and poor balance. A functional neurological examination revealed optokinetic and vesitbulo-ocular abnormalities, hesitations in rapid alternating movements and mild dysmetria of the left upper and lower extremities. Interventions and Outcomes: The patient was seen thirteen times over a 4-day period. A patient specific protocol was designed utilizing a combination of vestibular rehabilitation, optokinetic exercises, electrical stimulation protocols, and neuromuscular re-education. Post treatment exam findings showed significant subjective improvement, including cessation of rapid unexplained vomiting and feelings of dizziness, nausea and fatigue. Objective improvements included regulation of the vestibulo-ocular reflex, improved optokinetics, and rapid alternating movements of the upper extremity. Conclusions: Utilizing findings from a functional neurologic examination, an intensive multi-modal neuro-rehabilitation program was developed and implemented to address functional deficits following a mTBI. In response to a 4-day treatment protocol, the subject demonstrated significant subjective and objective improvement. The results of the study are limited to a single patient and further research is encouraged to determine if results can be replicated in similar conditions.

Keywords: mild traumatic brain injury, MTBI, concussion, Neuro-Rehabilitation, Vestibular Rehabilitation, Nausea, Vomiting, Dizziness, chiropractic neurology.

Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.

Presentation Type: Poster Presentation

Topic: Case Reports for Poster Presentation

Citation: Kempinski TL and Keiser ND (2015). Cyclical daily vomiting following a mild traumatic brain injury.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00039

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Received: 28 Oct 2015; Published Online: 02 Nov 2015.

* Correspondence: Dr. Nathan D Keiser, Nathan Keiser DC, LLC, Atlanta, Georgia, United States, dockeiser@gmail.com