Clinical Nutrition and Multimodal Rehabilitation Program Improve Egocentric Vertigo In A 28 Year Old Man with Euthyroid Hashimoto's
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1
Carrick Institute, United States
Background:
A 28 year old male presented with a 17 year history of egocentric vertigo. At presentation the vertigo was constant and described as the world spinning to the left at varying speeds. He also described feeling like his center of gravity had shifted to the left as well as occasionally feeling alternately like he is tilting to the left, and that the visual scene is tilting to his left.
He also complained of neck and back stiffness, a headache between the eyes, fatigue, lack of energy and very cold arms during exercise. A few weeks prior to presentation he was diagnosed with Euthyroid Hashimoto's.
Methods:
He had an adverse clinical reaction to ingesting T-helper 1 and T-helper 2 stimulators.
Blood chemistry revealed leukocytopenia, elevated TPO antibodies (80 IU/ml), elevated MCH (33.5); clinically significant homocysteine (10.4 mmol/L), LDH (122 IU/L), MCV (96.2 fL), serum B12 (470 pg/ml).
He was initially placed on an anti-inflammatory diet and supplement protocol including hydroxocobalamin, turmeric, resveratrol, Omega-3 fatty acids, topical glutathione, glutamine and multivitamin/mineral with therapeutic levels of chromium and vanadium.
Over the next 90 days, his vertigo symptoms reduced by approximately 75%. The vertigo was no longer debilitating but was still exacerbated by quick head and eye movements.
Neurological examination at this point in his care revealed the following: abnormal localization of various points on the left side of his body; left dysdiadochokinesia with elbows flexed and arms tucked to his side, turning left during Fukuda's Marching Test, inaccurate targeting of remembered targets in the left hemifield, as well as pursuits integrated by the right cerebellum accentuated his head tilt to the left.
The patient was then enrolled in a 4 day comprehensive multimodal rehabilitation program focusing on improving right parietal integration, left cerebellar function and reducing the gain of visual system contributions to his global vestibular function. He continued both his anti-inflammatory diet and supplement protocol.
Results:
After 4 days, the Fukuda Marching Test was normal, there was no distortion of somatosensory function, targeting to remembered targets in the left hemifield were normal, pursuits did not induce head tilt, and his chronic lower back pain was resolved. In addition, the patient reported he was essentially symptom-free.
30 days after the program, he remained free of the vertigo.
Conclusion:
The author suggests that further investigation into clinical nutrition, supplementation and multimodal rehabilitation in the treatment of chronic vestibular symptoms, especially in patients with diagnosed autoimmunity.
Keywords:
Euthyroid Hashimoto's,
Vertigo,
Vestibular Diseases,
Neurorehabilitation,
Anti-inflammatory diet
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:
Clark
DJ
(2018). Clinical Nutrition and Multimodal Rehabilitation Program Improve Egocentric Vertigo In A 28 Year Old Man with Euthyroid Hashimoto's.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00020
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Received:
23 Feb 2018;
Published Online:
14 Dec 2018.
*
Correspondence:
Dr. David J Clark, Carrick Institute, Cape Canaveral, United States, mail@doctordavidclark.com