Resolution of postural orthostatic tachycardic syndrome following a brain-based therapy approach: a case study
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1
Illinois Neuro and Physical Rehabilitation, United States
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2
Carrick Institute, United States
Background
A 14-year-old female patient presented to a functional neurology clinic with a prior diagnosis of postural orthostatic tachycardic syndrome and complaints of poor sleep, dizziness with positional changes, and head pain all occurring after the Gardasil series of vaccinations. The patient reported it was difficult to function in her daily life, school life, and she experienced difficulty interacting in social situations.
Methods
A neurological examination revealed hyperesthesia of C5-C6 and V3 on the left and L3-L5 on the right. Vibration was diminished in her left upper extremity. She had saccadic intrusions during pursuits in the horizontal plane and convergence myospasm. The patient was diagnosed with functional deficit of the right cerebellum and left cortex. A treatment plan was implemented that included gaze stability exercises, optokinetic stimulation, breathing exercises, oxygen therapy, repetitive peripheral somatosensory stimulation of the trigeminal nerve bilaterally, parasympathetic activation, and nonlinear complex movements of the extremities.
Results
The patient completed an intensive treatment program where she was seen two times per day for four days. She saw improvements in her ability to sleep during this period. Two weeks after treatment the patient had a repeat tilt-table test performed and the results came back as within normal limits. The patient reports she is now able to play soccer competitively again.
Conclusion
We present a case of a patient diagnosed with postural orthostatic tachycardic syndrome treated with a multi-modal brain-based treatment approach. The patient was able to achieve normal cardiac testing after her treatment program. Further investigation is necessary to look at therapeutic interventions with dysautonomia.
Keywords:
Postural Orthostatic Tachycardia Syndrome,
dysautonomia,
Neurorehabilitation,
conservative treatment,
Dizziness,
Vaccination
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:
Michalopoulos
G and
Barton
D
(2015). Resolution of postural orthostatic tachycardic syndrome following a brain-based therapy approach: a case study.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00009
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Received:
01 Nov 2015;
Published Online:
02 Nov 2015.
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Correspondence:
Dr. Derek Barton, Carrick Institute, Cape Canaveral, FL, United States, derekabarton@gmail.com