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 therapy, chiropractic adjustments, vestibular rehabilitation, neuromodulation to the hypoglossal and trigeminal nerves, and red/ NIR light therapy.
While undergoing treatment, the patient began a gluten free diet, increased salt and water intake, and individualized supplementation.
Results
The patient saw a decrease in syncopal episodes from daily to bimonthly. Headaches were decreased from daily to 2 times per week.
The patient was placed on a maintenance plan of 1 visit per week for 12 weeks, individualized home neurological exercises, supplementation and continued with dietary changes at home. After 8 months of continued at home maintenance the patient saw total remission of all symptoms and was dismissed from care. He has been able to return to all activities and sports without incidence.
Conclusion
Functional neurological care has been shown to be effective in the treatment of vasovagal syncope. Please visit our Dysautonomia Program webpage for more information.