NEUROREHABILITATION FOR PATIENT WITH DYSAUTONOMIA
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1
Carrick Institute, United States
Background:
We describe a 65 year-old female who presents with a history of unremitting arm pain, abdominal pain, head pain, incontinence, dizziness, numbness bilaterally in distal lower extremities, dysphagia, depression, frequent lacrimation, photosensitivity, sensitivity to smell and touch, and fatigability.
Methods:
Upon a comprehensive neurological examination, increases in jugular pulses, hypersensitivity to smell, touch and sound were observed. The oculomotor examination revealed gaze instability to eccentric targets all directions, saccadic intrusions of smooth pursuits and hypometric saccades. The patient participated in a five day neurorehabilitation program consisting of specific oculomotor rehabilitation as well as off-vertical-axis-rotation vestibular rehabilitation.
Results:
The patient no longer experienced any headaches and experienced significant improvements in her balance, dizziness, incontinence, swallowing and ability to lacrimate.
Conclusion:
A multimodal neurorehabilitation approach produced significant improvements in a patient with dysautonomia. The authors suggest further investigation into vestibular rehabilitation mechanisms and oculomotor rehabilitation to patient treatments with dysautonomia.
Keywords:
dysautonomia,
Neurorehabilitation,
Dizziness,
Balance control,
incontinence
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 and
Traster
DJ
(2015). NEUROREHABILITATION FOR PATIENT WITH DYSAUTONOMIA.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00103
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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