A 20-year-old female presented to CFNC with complaints of dizziness, presyncope upon standing, driving and sitting, dizziness when driving, shortness of breath throughout the day, anxiety, sleep issues and digestive issues. Some symptoms were present throughout her life but made significantly worse after a car accident a few years prior.Â
ExaminationÂ
Examination revealed past history of viral loads and co-infections. Neurological examination revealed a convergence spasm and left beat nystagmus. As well as midbrain and central vestibular involvement. Patient met the criteria for dysautonomia. Adrenal testing revealed functionally low cortisol throughout the day and increase of cortisol at night time.Â
Treatment
Patient underwent 12 sessions of neurological rehabilitation. Treatment consisted of targeted vestibular rehabilitation, orthostatic retraining, oculomotor exercises, PEMF therapy and red/near infrared light therapy to address neurological dysfunction. Supplementation was provided to patient to target adrenal health, blood sugar regulation, neuroinflammation and immune health.
Results
After the initial phase of treatment, the patient reported significant improvement in her dizziness throughout her day. She was able to tolerate loud and bright environments. Her digestive issues were significantly reduced. She no longer noticed her heart rate throughout the day. Symptoms remaining were some residual anxiety and sleep difficulties.Â
Patient was given home exercises and adjustments to their supplementation. Moved into a check in phase. Patient was seen every 2-3 weeks for 4-5 sessions.
Throughout the check in phase patients dizziness continued to reduce. No anxiety or shortness of breath reported. Sleep improvements had been made, minimal issues with sleep. Stomach issues are minimal and continue to improve.Â
Conclusion
For this case, the underlying neurological dysfunction was vestibular and midbrain involvement. This was the main driver of this individual's symptoms which also impacted their adrenal and immune function. This highlights the importance of addressing brain health first and then addressing the secondary systems that are involved.
Functional neurology has been shown to be effective for a wide range of conditions. Every patient requires an individualized approach and targeted treatment to achieve optimal results. Please contact us to learn more or schedule a consultation.Â
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