CLINICAL NUTRITION AND MULTIMODAL NEUROREHABILITATION IMPROVE VESTIBULAR SYMPTOMS AND FUNCTION IN A PATIENT WITH AUTOIMMUNE INNER EAR DISEASE

Abstract

Event Abstract Back to Event CLINICAL NUTRITION AND MULTIMODAL NEUROREHABILITATION IMPROVE VESTIBULAR SYMPTOMS AND FUNCTION IN A PATIENT WITH AUTOIMMUNE INNER EAR DISEASE David J. Clark1* 1 Carrick Institute, United States Background: A 25 year old woman presented with rotational vertigo, a feeling of rocking and tinnitus.Three months prior to presentation she was diagnosed with autoimmune inner disease and placed on steroids. Her condition made it difficult to coach lacrosse, as she would lose her balance and fall multiple times during each practice session. Her symptoms made it impossible to run more than a few feet. She was taking prednisone, Allegra®, Flonase®, Sudafed®, as well as Valium® and meclizine as needed. Methods: Blood chemistry revealed low Vitamin B12 (194 pg/mL), high white blood cell count (12.2), absolute lymphocytes (3.8), absolute monocytes (1.4), reverse T3 (25.5 ng/dL), clinically significantly low folate (10.4 ng/ml), vitamin D (33.9 ng/mL), lactate dehydrogenase (120 IU/L), and ferritin (32 ng/mL). She was initially placed on an anti-inflammatory diet and supplement protocol utilizing turmeric, resveratrol, vitamin D, sublingual glutathione, omega 3 fatty acids, hydroxocobalamin, iron, methylfolate and butyrate. She maintained this protocol over the next four months as she lowered the prednisone. While doing so, the rocking sensation resolved but she developed some vestibular symptoms consistent with abnormality of the vestibular ocular reflex. She was enrolled in a four day multi-modal neurorehabilitation program utilizing progressive balance exercises, non linear complex movements, and gaze stabilization techniques. Results: After the four day program, she was able to perform lacrosse-specific activities with no vestibular symptoms. She was able to run for several minutes with no symptoms. As she discontinued the prednisone completely, she developed a few symptoms consistent with abnormal velocity storage. She was treated again for two days. After these two days, she was able to enjoy a trip to an amusement park, ride roller coasters and a zip line. Conclusion: The author suggests further investigation into diet, supplementation and multi-modal neurorehabilitation in the treatment of vestibular symptoms subsequent to autoimmune inner ear disease. Keywords: autoimmune inner ear disease (AIED), Clinical Nutrition, Neurorehabilitation, 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 VESTIBULAR SYMPTOMS AND FUNCTION IN A PATIENT WITH AUTOIMMUNE INNER EAR DISEASE. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience. doi: 10.3389/conf.fneur.2019.62.00029 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.