Tag: Case Study

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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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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Case Study: Vasovagal Syncope

Introduction A 39-year-old female presented with vasovagal syncope. She was having syncope “fainting” episodes 4-5x per week. These episodes mostly came without warning. She also suffered from migraines, GI issues and fatigue. The patient had recently been put on daily Sudafed to help syncope episodes, which seemed to be helping. Examination and Diagnosis A neurological…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 38-year-old female presented with Postural Orthostatic Tachycardia Syndrome (POTS) for a year and a half. Her chief complaints were tachycardia, fatigue, anxiety, constipation and exercise intolerance. She was put on Florinef, Citalopram, salt sticks, and metoprolol. Examination and Diagnosis A neurological examination revealed a right-sided ponto-medullary deficit. Treatment The patient was initially treated…
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Case Study: Postural Orthostatic Tachycardia Syndrome

Introduction A 23-year-old female presented with Postural Orthostatic Tachycardia Syndrome (POTS) for the past 6 years. Her chief complaints were fatigue, tachycardia, pre-syncope, dizziness, pain and migraines. Examination and Diagnosis A neurological examination revealed ponto-medullary dysfunction. Treatment The patient was initially treated 2x per week for 1 hour over 7 consecutive weeks. Visits included neuromodulation…
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Case Study: Dizziness and Vertigo

Introduction A 32-year-old female presented with chronic, recurring vertigo that began 6 years prior.  The patient noted 5-6 episodes of vertigo per year that would last 1-2 days. She stated that each episode would leave her bedridden and unable to work.  Examination and Diagnosis A neurological examination revealed central vestibular dysfunction. Treatment The patient was…
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