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Treatment of a 13-year-old female diagnosed with visual processing disorder, dysautonomia, anxiety, and neck pain using a conservative functional neurological and chiropractic approach.

2019; Frontiers Media; Volume: 10; Linguagem: Inglês

10.3389/conf.fneur.2019.62.00047

1664-2295

Marc Case,

Ophthalmology and Eye Disorders

Event Abstract Back to Event Treatment of a 13-year-old female diagnosed with visual processing disorder, dysautonomia, anxiety, and neck pain using a conservative functional neurological and chiropractic approach. Marc C. Case1* 1 Case Chiropractic Neurology Center, United States Presentation There are many types of visual processing disorders primarily impacting children and young adults. A comprehensive clinical examination should be performed on any patients experiencing visual processing issues to determine primary areas of brain dysfunction to determine the most appropriate diagnosis and treatment strategies. A 13-year-old female patient presents with persistent visual processing issues, severe social anxiety, positional dizziness, sleep disturbances, chronic neck pain, and motion sickness. Examination Clinical infrared video goggle assessment revealed bilateral square wave jerks, hypermetric rightward saccades, right eye accommodation spasm, left lateral and right vertical gaze fixation instability, and hippus bilaterally. Force plate posturography revealed an average baseline center of pressure (COP) path length of 43cm during Fall Risk Assessment (FRA) on a firm surface eyes closed, indicating a high fall risk, and a baseline composite COP path length of 214cm during modified Clinical Test of Sensory Integration and Balance (mCTSIB). Heart rate sit to stand measured 86 BPM seated to 117 BPM standing right, and 88 BPM seated to 111 BPM standing left, with heart rate fluctuation of 76 BPM to 96 BPM seated at rest. Tissue oxygenation saturation measured 98% bilaterally. Bedside neurological examination showed right laterocollis, right torticollis, internally rotated right shoulder, down right gaze preference, bilateral palmar hyperhidrosis, right pupillary fatigue to direct and consensual light reflex, increased right palpebral margin, right glossal deviation with mild fasciculations, moderate blepharoclonus bilaterally, decreased finger tapping speed bilaterally, right upper extremity dysdiadochokinesia, hypermetria with finger to nose on the right, and increased heart rate in right and left head yaw during heart auscultation. Intervention The patient was prescribed a treatment plan of two visits per week for one month, then one visit per week for one month. A brain-based, multimodal treatment plan included vestibular rehabilitation maneuvers, vestibular-ocular re-training, individualized eye movement therapies, sensorimotor integrative therapies, joint manipulation to the spine and extremities, and specific at-home neurologic exercises. Re-examination was performed at the end of the initial treatment plan. Repeat force plate posturography revealed an average baseline COP path length of 28cm during FRA on a firm surface eyes closed, indicating a low fall risk (35% improvement) and a baseline composite COP path length of 176cm during mCTSIB (38cm improvement). The patient reported complete resolution of all visual processing issues, positional dizziness, and social anxiety, with significant reduction of her neck pain, car sickness, and sleep disturbances. The patient continues maintenance care and at-home neurologic exercises to present day. Conclusion Visual processing disorders can be a detriment to the development of children and young adults. Thorough analysis of individual patients is essential for accurate diagnosis and treatment. A 13-year-old female patient presents with persistent visual processing issues, severe social anxiety, positional dizziness, sleep disturbances, chronic neck pain, and motion sickness, and sees immediate improvement with continued progress using a brain-based, multimodal treatment approach. Further investigation is warranted for interventions involving brain-based, multimodal therapies for visual processing disorders, dysautonomia, and anxiety. Figure 1 Figure 2 Keywords: dysautonomia, Anxiety, Dizziness, Neck Pain, novel therapies, Visual Processing, posturography Conference: International Symposium on Clinical Neuroscience, Orlando, United States, 24 May - 26 May, 2019. Presentation Type: Poster Presentation Topic: Clinical Neuroscience Citation: Case MC (2019). Treatment of a 13-year-old female diagnosed with visual processing disorder, dysautonomia, anxiety, and neck pain using a conservative functional neurological and chiropractic approach.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience. doi: 10.3389/conf.fneur.2019.62.00047 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 02 Apr 2019; Published Online: 27 Sep 2019. * Correspondence: Dr. Marc C Case, Case Chiropractic Neurology Center, St. Marys, United States, marc.case15@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Marc C Case Google Marc C Case Google Scholar Marc C Case PubMed Marc C Case Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.