Tag: Case Study

Case Study – Exercise Intolerance, Adrenal Fatigue, Syncope

Introduction A 41-year-old female presented with symptoms that started two years ago. She regularly experienced exercise intolerance, lightheadedness, headaches, nausea, dizziness and fatigue. She reported having a high-stress job that is mentally and physically demanding. The patient experienced one episode of syncope while performing high intensity exercise. She stated that symptoms worsened after a COVID-19 infection.…
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Case Study – POTS and SIBO

Introduction A 34-year-old female presented with postural orthostatic tachycardia syndrome (POTS) and small intestinal bacterial overgrowth (SIBO). Her main complaints were dizziness and lightheadedness when standing up, especially in the mornings, bloating after meals, chronic fatigue and brain fog throughout the day. Examination  Examination revealed a right vestibular and right pontomedullary reticular dysfunction. Patient’s orthostatic…
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Case Study – Post-Concussion Syndrome

Introduction A 24-year-old male presented with memory difficulties and slurred speech following multiple concussions over the last 10-15 years.  Examination and Diagnosis History examination revealed decreased frontal lobe function, decrease in semantic memory and memory recall, and slight cognitive impairment.  Treatment Patient was put on a high dose of DHA and turmeric. In addition, the…
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Case Study: Postural Orthostatic Tachycardia Syndrome and Hashimoto’s Non-Thyroiditis

Introduction A 37 year-old  female presented with pre-syncope, fatigue, daily headaches, migraines, dizziness, visual disturbance, brain fog, chest pressure, sharp pain around the chest and insomnia. Symptoms began 2-3 weeks after a sinus infection and the use of  Zithromax and Prednisone. She reports a medical history of cat scratch fever, EBV, chronic fatigue syndrome for…
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Case Study: Mold Toxicity

Introduction A 55 year-old  male presented with constant head pressure, brain fog, headaches, chronic sinus infections, lung nodules, daily productive cough, dizziness, tinnitus and memory decline for the last 10 years. Examination and Diagnosis History examination revealed the patient had been exposed to toxic mold over 10 years ago and the patient suffered a severe…
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Case Study: Moderate TBI

Introduction A 28 year old female presented with a moderate traumatic brain injury that was sustained during a motor vehicle accident. Her main complaints were fatigue, headache, and facial muscle paresis on the left side.  Examination  Examination revealed autonomic dysfunction with left sided brainstem dysfunction. Patient’s orthostatic vitals on the initial exam were as follows:…
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Case Study: POTS & EDS

Introduction A 19 year-old  female was diagnosed with Postural Orthostatic Tachycardia Syndrome (POTS) and Ehlers Danlos Syndrome (EDS). Patient had been wheelchair bound for nearly 3 years due to severe joint pain, vertigo and dizziness making her unable to walk without falling. Her chief complaints were chronic vertigo, dizziness, fatigue, brain fog, lightheadedness and nausea.…
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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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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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