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Brain-based Clinical Approach Improves Patient With BPPV After TBI

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • Impaired balance and coordination stemming from vestibular consequences have been reported in over 30% of TBI cases1

Case Presentation

  • Benign paroxysmal positional vertigo (BPPV) after TBI is more difficult to treat than idiopathic BPPV1

Case Presentation

Physical exam and evidenced-based diagnostics including Video Nystagmography, saccadometric testing, and CAPS Balance Testing

Case Presentation

Physical exam and evidenced-based diagnostics including Video Nystagmography, saccadometric testing, and CAPS Balance Testing

Case Presentation

Physical exam and evidenced-based diagnostics including Video Nystagmography, saccadometric testing, and CAPS Balance Testing

Case Presentation

Physical exam and evidenced-based diagnostics including Video Nystagmography, saccadometric testing, and CAPS Balance Testing

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

Case Presentation

  • History of concussions, with the most recent occurring one year prior to visit

  • Vertigo, headache, nausea

  • Increased frequency of sporadic crying

  • Decreased ability to perform daily activities

  • Difficulty reading; medical withdrawal from school; unable to play soccer

References:
1. Basford JR, Chou LS, Kaufman KR, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehabil. 2003;84(3):343-349. 2. Simhadri S, Panda N, Raghunathan M. Efficacy of particle repositioning maneuver in BPPV: a prospective study. Am J Otolaryngol. 2003;24(6):355-360. 3. Gans RE, Harrington-Gans PA.Treatment efficacy of benign paroxysmal positional vertigo (bppv) with canalith repositioning maneuver and Semont liberatory maneuver in 376 patients. Seminars in Hearing. 2002;23(2):129-142. 4. Nakayama M, Epley JM. BPPV and variants: improved treatment results with automated, nystagmus-based repositioning. Otolaryngol Head Neck Surg. 2005;133(1):107-112. 5. Hunt, WT, Zimmermann EF, Hilton MP. Modifications of the Epley (canalith repositioning) manoeuvre for posterior canal benign paroxysmal positional vertigo (BPPV). Cochrane Database Syst Rev. 2012;4.
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