Five-Day Multimodal Rehabilitation For A 45 Year-Old Female With Idiopathic Intracranial Hypertension, Viral Meningitis, And Post-Concussive Syndrome Results in 59% Improvement in Symptoms
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1
South Florida Integrative Health, United States
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2
Carrick Institute, United States
Background:
A 45 year old female presents to a chiropractic neurology clinic with the chief complaints of vertigo, myoclonus, head pain and pressure, global burning pain, sensitivity to light and sound, and brain fog. Patient’s medical history over the previous four years consists of idiopathic intracranial hypertension, mild traumatic brain injury, and viral meningitis.
Methods:
A thorough neurological examination revealed a left ptosis, repetitive myoclonus of trunk muscles, right-beating nystagmus in all directions of gaze, bilateral papilledema, bilateral pupillary hippus, decreased gain of the vestibulo-ocular reflex upon rapid head impulse testing to the left, decreased perception of pinprick sensation on the left side of her face when compared to the right side of her face, left lateropulsion during gait analysis. A five-day management plan involving eye-head rehabilitation, repetitive peripheral nerve stimulation, and proprioceptive retraining was performed for three hours a day.
Results:
Initial symptom severity score, according to the c3 Logix assessment, was 116 with 0 being symptom free. She reported her head pain and pressure, dizziness, sensitivity to light, sensitivity to noise, and fatigue as 6/6 with 6 being the most severe score possible. At the conclusion of the five-day intensive rehabilitation program the patient reported her symptom severity score as a 48 with 0 being symptom free. She reported her head pain and pressure, dizziness, sensitivity to light as a 2/6. She reported her sound sensitivity and fatigue as a 1/6. She reported a complete resolution in her global burning pain.
Conclusion:
A 59% improvement in total symptom score was recorded after a five-day multimodal rehabilitation program. The authors suggest further investigation into comprehensive, multimodal forms of rehabilitation in the treatment of mild traumatic brain injuries, chronic pain, and movement disorders. The authors also suggest further investigation into long term outcomes.
Keywords:
Post concussion syndrome,
post concussive syndrome,
TBI,
concussion,
concussion rehabilitation,
Viral meningitis,
Myoclonus,
Movement Disorders,
Intracranial Hypertension
Conference:
International Symposium on Clinical Neuroscience 2018, Orlando, Florida, United States, 24 May - 26 May, 2018.
Presentation Type:
Poster
Topic:
Clinical Applications in health, disease, and injury to the nervous system
Citation:
Traster
D and
Brenner
K
(2018). Five-Day Multimodal Rehabilitation For A 45 Year-Old Female With Idiopathic Intracranial Hypertension, Viral Meningitis, And Post-Concussive Syndrome Results in 59% Improvement in Symptoms
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Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00086
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Received:
01 Apr 2018;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. David Traster, South Florida Integrative Health, Miami, Florida, 33145, United States, dtraster3@gmail.com