Clinical Neuroscience Application with Schizophrenia and Mood Dysregulation in a 26-year-old male
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1
Bagnell Brain Center, United States
Background: A 26-year-old male presented to a chiropractic functional neurology clinic with a seven-year history of diagnosed Schizophrenia. Self graded assessment of brain functionality revealed brain fog, light and sound sensitivity, anxiety, depression, visual and auditory hallucinations, memory issues, confusion, and feelings of unsteadiness.
Methods: Exam findings included cervical stiffness in all ranges of motion, decreased arm swing observed bilaterally, and an inability to perform a tandem stance bilaterally. Testing of the stability in canal plane was obtained via the Biodex Biosway, revealing increased sway index of the right horizontal canal (RHC), the right and left posterior canals (RPC and LPC), measuring 3.30, 2.49, and 3.28 respectively. Head impulse test revealed decreased right vestibule-ocular reflex with corrective saccades. Baseline neurocognitive testing, using the C3 Logix, resulted in below average trails A, decreased processing speed, and decreased simple and choice reaction time compared to normative values. A subjective visual vertical was measured, and resulted in an average of -2.87˚ off axis.
An integrated neurological treatment plan was implemented, consisting of Interactive Metronome (IM), repetitive Peripheral Somatosensory Stimulation (rPSS) applied bilaterally to V1, V2, and V3 branches of the trigeminal nerve, inversion table therapy, pro-active saccades utilizing the Neuro Sensory Integrator (NSI), and chiropractic manipulations delivered throughout the spine. The therapy consisted of ten sessions delivered over a 5-week period.
Results: Concluding care, the patient noticed a subjective decrease in auditory and visual hallucinations. Furthermore, he experienced increases in energy, concentration, as well as the ability to work out again, and was even able to apply for and start college classes. Objectively, the patient’s C3Logix symptom severity decreased from 95 to 91, 21% improvement in Trails A, 18% faster processing speed, and a 6% faster choice reaction time. The head-positioning test resulted in the following improvements: RHC 62%, RPC 15%, and LPC 51%. His best task average for the Interactive Metronome reached a score of 22. The patient’s subjective visual vertical was also improved to -1.0˚ off axis.
Conclusion: Schizophrenia is a complex condition that is difficult to manage, clinically. Improvements demonstrated by this case outline the need for continued research into brain-based therapies for the treatment of the disease.
Keywords:
Schizophrenia,
Mood Disorders,
Neuroscience,
Neurorehabilitation,
Anxiety
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:
Coppus
JA,
Irons
H and
Bagnell
MK
(2018). Clinical Neuroscience Application with Schizophrenia and Mood Dysregulation in a 26-year-old male.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience 2018.
doi: 10.3389/conf.fneur.2018.60.00045
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Received:
29 Nov 2017;
Published Online:
14 Dec 2018.
*
Correspondence:
Mr. Joseph A Coppus, Bagnell Brain Center, Miami, United States, joseph.coppus@student.life.edu