Event Abstract

UNILATERAL ARM AND LEG TREMOR IMPROVE FROM MULTIMODAL NEUROREHABILITATION

  • 1 Carrick Institute, United States
  • 2 Life University, United States

Background: A 22 year old school teacher presents with the chief complaint of a mixed resting/kinetic tremor that began approximately 4 years prior in her right hand, however it has spread into her right face, arm and leg. The patient also reported a history of frequent dizziness, specifically qualifying the symptomatology as a right egocentric vertigo. She also experienced sharp headaches, localized to the vertex of the head, occurring several times daily for one to five minutes in duration. She also reported chronic and continuous exhaustion over the past 4 years. Methods: Upon thorough neurological examination, the patient demonstrated a right hypertropia with a left head tilt accompanied by clockwise circumduction oscillation of the trunk and right leg. She demonstrated a significant right parietal drift of her right arm when extending her arms forward with her eyes closed. Smooth pursuit caused the amplitude of the tremor to increase while also evoking a sensation of nausea in the patient. Light increased the frequency and amplitude of the tremor in the right hand during ophthalmoscopy, which also revealed a right-beating nystagmus. Oculomotor rehabilitation, off-vertical-axis-rotations, repetitive peripheral somatosensory stimulation and low-level laser therapy was applied. Results: After four days of treatment, the patient reported a complete resolution of the tremor, improvement in gait and stance, and the ability to play the piano again. Conclusion: The authors suggest further investigation into comprehensive, multimodal forms of neurorehabilitation in the management of tremor.

Keywords: Tremor, Dizziness, Vertigo, Neurorehabilitation, Balance control

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, Sass B, Sass C, Funk A, Ranvik K and Behrendt B (2015). UNILATERAL ARM AND LEG TREMOR IMPROVE FROM MULTIMODAL NEUROREHABILITATION. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00122

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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
Dr. Brian Sass, Carrick Institute, Cape Canaveral, United States, sassbria@gmail.com
Dr. Chriss Sass, Carrick Institute, Cape Canaveral, United States, sasschr1@gmail.com
Dr. Andrew Funk, Life University, Marietta, United States, funkaj1981@yahoo.com
Ms. Karina Ranvik, Life University, Marietta, United States, kranvik@student.life.edu
Dr. Ben Behrendt, Carrick Institute, Cape Canaveral, United States, drben@neuroworkshealthcare.com