Vertigo Improved with Multimodal Neurorehabilitation Program

Background: We describe a male in his 60’s who presents with a three year history of vertigo. Episodes of three to eight hour durations would produce dizziness, disorientation, tinnitus, as well as memory and cognitive difficulties.

Methods: A centrally maintained vertigo was confirmed through neurological examination. The patient was found to have a 10hz tremor on the right arm with decrease right arm swing during gait. The patient participated in a five day neurorehabilitation program that included off-vertical-axis-rotation vestibular rehabilitation, specific oculomotor rehabilitation strategies, times-one viewing gaze stabilization exercises, extra-spinal manipulations and gait rehabilitation.

Results: This case of vertigo showed significant improvements after administration of an integrated neurorehabilitation regimen as described. The authors suggest further investigation into vestibular rehabilitation mechanisms and brain-based approaches to patient treatments with vertigo.

Conclusion: This case of vertigo showed significant improvements after administration of an integrated neurorehabilitation regimen as described. The authors suggest further investigation into vestibular rehabilitation mechanisms and brain-based approaches to patient treatments with vertigo.