Presentation: A 44 year-old medical physician with a history of increased intracranial pressure due to sagittal sinus stenosis (managed by a stint), presented with daily pulsating headaches, pulsatile tinnitus, insomnia, and difficulty concentrating. His most recent opening pressures were normal, ruling out hydrocephalus/ pseudotumor cerebri. Difficulty concentrating was his main complaint. The patient was evaluated diagnostically by the use of C3Logix system. The C3 Logix software was developed by the Cleveland Clinic to be a comprehensive tool to diagnose and evaluate concussions. The C3 Logix measures multiple domains including reaction time, trail making tests, balance, processing speed, visual acuity, standard assessment of concussion (SAC) scores, and symptom severity scores.
Methods: The patient was treated by Dr. Antonucci and his team, over a 4-day span which included three treatment sessions per day, each lasting 1 hour. The treatment utilized in this case consisted of gaze stability exercises, repetitive peripheral somatosensory stimulation of the tongue and face, chair translations, and the interactive metronome.
Results: The patient’s baseline severity score was 31/162 that decreased to 15/162 after treatment. His SAC score increased from a 23/30 to 29/30 after treatment. The patient’s trail making score on part B decreased from 55.8 s to 29.7 s after treatment. The patient also increased his processing during a 2-minute digit-symbol matching task, from 62 matches in 2 minutes, to 75 matches.
Conclusion: The patient had increased subjective concentration ability from therapy without dysautonomia on the final day of treatment. These findings suggest that the intensive neurological treatment approach utilized in this case and the diagnostic data provided by C3 Logix are important clinical aspects in neurological rehabilitation.
Antonucci MM, Sass BJ, Sass CM(2015). UTILIZATION OF SACCADOMETRY IN A MULTIMODAL NEUROLOGICAL TREATMENT APPROACH IN A PATIENT WITH INCREASED INTRACRANIAL PRESSURE, DYSAUTONOMIA, AND COGNITIVE IMPAIRMENTS. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi:10.3389/conf.fneur.2015.58.00080