Category: Dysautonomia

Case Study: POTS & Vasovagal Syncope

Introduction A 13 year-old  female presented with POTS and intermittent vasovagal syncope.  Her chief complaints were syncopal episodes, difficulty with motor coordination, numbness in legs, anxiety, chest pain, dizziness, headaches, and fatigue.  Examination and Diagnosis A neurological examination revealed right cerebellar dysfunction, orthostatic intolerance, and a decreased cortisol awakening response.  Treatment The patient was initially…
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Case Study: Autonomic Dysfunction

Introduction A 35 year-old  female presented with autonomic dysfunction. Her chief complaints were brain fog, dizziness, migraines, anxiety, gastrointestinal issues, sleep disturbances and neck pain. Examination and Diagnosis A neurological examination revealed mesencephalic dysfunction, orthostatic intolerance, low vitamin D levels and elevated cortisol levels throughout the day. Treatment The patient was initially treated 2x per…
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LONG-Covid: What it is and what it’s not

By now, most of us have read about the long-term effects the coronavirus is having on a subset of the population, mostly 20 to 40-year-old females after relatively mild cases of COVID-19.  These long term effects can almost all be categorized under the umbrella term, “dysautonomia,” or the dysfunction of the autonomic nervous system. This…
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The treatment of Post Concussion Syndrome – A Fuel Delivery Approach

Patients who present with post concussive syndrome can have a multitude of symptoms that can seem unrelated. Symptoms can range widely: headaches, dizziness, tinnitus, nausea, fatigue, lightheadedness, brain fog, memory loss, speech abnormalities, chronic pain, and more. Traditionally, patients are advised to rest and take anti-inflammatory medication and allow the brain time to heal. We…
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The Extended Autonomic Nervous System: It’s All Connected

Introduction For those of you who have read our previous blog post about dysautonomia, you will be familiar with what the autonomic nervous system is and its main components. Traditionally, the autonomic nervous system(ANS) is the aspect of our nervous system that is “autonomic.” It is responsible for controlling aspects of body function that we…
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POTS vs. IST: A Detailed Look Through the Lens of Functional Neurology

Tachycardia, dizziness, fatigue, pain, shortness of breath, anxiety and more can all be symptoms of a condition called Postural Orthostatic Tachycardia Syndrome (POTS) and they can also be symptoms of a condition called Inappropriate Sinus Tachycardia (IST). So, what is the difference? The diagnosis of IST is a diagnosis of exclusion, which means that other…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 21-year-old male presented with a diagnosis of POTS. Symptoms included syncope, dizziness, lightheadedness, extreme fatigue, digestive complaints, and joint pain. He was having 1-3 syncopal episodes a day. Examination and Diagnosis A neurological examination revealed pontomedullary and central vestibular dysfunction. Treatment The patient was initially treated 3x a week for 1 hour visits…
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Case Study: Vasovagal Syncope

Introduction A 13-year-old male presented with vasovagal syncope. Symptoms included drop attacks, pre-syncope, fatigue, headaches, and anxiety. Examination and Diagnosis A neurological examination revealed brainstem, central vestibular, cervical dysfunction, and Celiacs disease. Treatment The patient was initially treated 3x per week for 1 hour visits over 5 consecutive weeks. Visits included tilt table therapy, BEMER…
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Case Study: Autonomic Dysfunction

Introduction An adult female presented with autonomic dysfunction following exposure to toxic mold. Her chief complaints were extreme fatigue, tachycardia, pre-syncope, dizziness, anxiety and weakness in her legs. Examination and Diagnosis A neurological examination revealed ponto-medullary dysfunction and euthyroid hashimotos. Treatment The patient was initially treated 2x per week for 30 minutes over 6 consecutive…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 29-year-old female presented with symptoms of tachycardia especially when changing positions, chest tightness/ squeezing, balance issues/ feeling like she was “on a boat,” upper back and neck pain, shakiness, anxiety and fatigue.  Examination and Diagnosis A neurological examination revealed Postural Orthostatic Tachycarida Syndrome (POTS) having an elevation in her heart rate against gravity…
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