ANISMUS TREATED THROUGH MULTIMODAL NEUROREHABILITATION
-
1
Carrick Institute, United States
-
2
Life University, United States
Background:
We describe a male in his 60’s who presents with a four year history of severe, progressing anal pain with associated pain in the left ear and jaw. Patient reported a year before the anal pain there was bilateral numbness on the bottom of both feet which never improved. Patient also reports regular bouts of constipation which last four to five days. Hemorrhoidectomy, disimpaction, ganglion impar block, lidocaine trigger point injection, pudendal block and superior hypogastric block has been performed with no impact on anal pain. All imaging was unremarkable.
Methods:
A diagnosis of anismus was confirmed by neurologic examination. Aberrant pursuits, saccades and optokinetic responses were observed along and confirmed by videonystagmography. Blepheroclonus was present during gaze stabilization. The patient participated in a neurorehabilitation program that included peripheral repetitive somatosensory stimulation of the right trigeminal system, specific oculomotor rehabilitation strategies, along with application of low-level laser over the anus.
Results:
The combination of treatment protocols produced up to 40% decrease of symptoms, as reported by the patient, which was beyond any previous treatment application.
Conclusion:
This case of anismus showed improvements beyond traditional applications after administration of an integrated neurorehabilitation regime. The authors suggest further investigation into the mechanisms of these brain-based approaches to patient treatment with anismus.
Keywords:
Anismus,
Dystonia,
Neurorehabilitation,
Low-level laser,
Pain
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:
Carrick
FR,
Traster
DJ and
Esposito
S
(2015). ANISMUS TREATED THROUGH MULTIMODAL NEUROREHABILITATION.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00097
Copyright:
The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers.
They are made available through the Frontiers publishing platform as a service to conference organizers and presenters.
The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated.
Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed.
For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions.
Received:
02 Sep 2015;
Published Online:
02 Nov 2015.
*
Correspondence:
Prof. Frederick R Carrick, Carrick Institute, Cape Canaveral, United States, drfrcarrick@post.harvard.edu
Dr. David J Traster, Carrick Institute, Cape Canaveral, United States, dtraster3@gmail.com
Dr. Susan Esposito, Life University, Marietta, United States, susan.esposito@life.edu