CLINICAL NUTRITION AND MULTIMODAL NEUROREHABILITATION IMPROVE CHRONIC POST-CONCUSSION SYMPTOMS IN 22 YEAR OLD WOMAN

Abstract

Event Abstract Back to Event CLINICAL NUTRITION AND MULTIMODAL NEUROREHABILITATION IMPROVE CHRONIC POST-CONCUSSION SYMPTOMS IN 22 YEAR OLD WOMAN David J. Clark1* 1 Carrick Institute, United States Background: A 22 year old woman presented with a 5 month history of fatigue, forgetfulness, difficulty concentrating, depression, irritability, light and sound sensitivity, dizziness/motion sickness, problems with balance and depth perception subsequent to a motor vehicle accident. She was on medical leave from University. Prior to presentation she had completed some vision therapy and primitive reflex remediation that worsened her symptoms. At time of prevention she was following a gluten-free, vegan diet. She was taking B12, Vitamin D, MCT oil, flax, ginkgo biloba and magnesium. Methods: Neurological examination revealed decreased left arm swing that improved with dual-tasking, horizontal and vertical pursuit testing at bedside elicited excessive sway, slowed vertical saccades tested at bedside, vertical saccades tested with VOG showed marked hypometria downwards and average latency greater than 200 ms, vertical optokinetics tested with VOG showed low gain in both directions, drowsiness and hippus during the VOG assessment. Ingestion of Th1 and Th2 boosters provoked her symptoms. Laboratory examination revealed low ferritin (8 ng/mL), clinically significantly low LDH (119 IU/L) , folate (10.7 ng/mL), magnesium (1.9 mg/dL). Initially, her diet was modified to increase her total protein and calorie intake, as well as the frequency of calorie intake. She was placed on supplemental folate, iron, turmeric, resveratrol, vitamin, magnesium, and a multi-nutrient to support normal tissue glucose levels. After 5 months of this program she was enrolled in a 4 day multi-modal neurorehabilitation program utilizing active gaze stabilization, Interactive Metronome, proprioceptive exercises, progressive balance exercises, and coupled reduction manipulation. Results: Due to improvement in her original presenting complaints, 2 months after her finishing her initial program, she re-enrolled in University. At last follow up she reported only some difficulty in cognitive set shifting. She continued to take Vitamin D, folate, iron, and the multi-nutrient formula to support normal tissue glucose levels. Conclusion: The author suggests further investigation into comprehensive, multimodal forms of neurorehabilitation and clinical nutrition in the treatment of chronic post-concussion symptoms. Keywords: post concussion syndrome (PCS), Neurorehabilitation, Clinical Nutrition, supplementation, Anti-inflammatory diet Conference: International Symposium on Clinical Neuroscience, Orlando, United States, 24 May - 26 May, 2019. Presentation Type: Poster Presentation Topic: Clinical Neuroscience Citation: Clark DJ (2019). CLINICAL NUTRITION AND MULTIMODAL NEUROREHABILITATION IMPROVE CHRONIC POST-CONCUSSION SYMPTOMS IN 22 YEAR OLD WOMAN. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience. doi: 10.3389/conf.fneur.2019.62.00013 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: Mx. David J Clark, Carrick Institute, Cape Canaveral, Florida, 32920, United States, mail@doctordavidclark.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 David J Clark Google David J Clark Google Scholar David J Clark PubMed David J Clark 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.