RE: Case Study: 9 year old boy with Dizziness

[Guest guest]

Jeff,

I've treated a few cases of vertigo and other forms of disequilibration

with herbs and acupuncture but the piece of information I'm going to direct you

to is diagnostic. When I asked a neurologist friend of mine about vertigo he

suggested that more often than not a physical trauma that results in such s & s

has to with the jostling (medical jargon) of the auditory ossicles and that

there is actually a set of positional adjustments they'll put someone through

that can predictably correct this phenomenon. I know this mostly takes into

account what seems like the red herring of your case but it may be a useful

lead.

Best regards,

Ben Zappin, L.Ac.

 

 

: marinhealth: Mon,

7 Apr 2008 18:01:10 +0000 Case Study: 9 year old boy with

Dizziness

 

 

 

 

I am looking for support with this case.Thanks in Advance,Jeffrey Szilagyi

L.Ac.5+ weeks.He can't find his equilibrium without holding on to something,

needs assistance in walking. Watching him looks rather odd, because his feet and

lower body are relatively stable, but his upper body is disoriented, tipsy, he

leads with his head. He complains of feeling like the ground is in motion.Onset

took place following these factors:Strong sore throat just prior, second of two

colds in that time frame.Went to the beach and two days prior- swimming in

chilly Pacific in early March. Reports being tumbled by wave. On further

questioning doesn't sound that strong of a tumble. Reports feeling a chill after

getting out. Also complains of frontal headache, stronger on right side. This is

a more recent symptom.Has had battery of tests: CBC, Multiple MRI's , may be

looking at spinal tap (any opinions on this)WBC's show Acute Viral Pattern:

Functionally higher Total WBC (7.5) Functionally lower Neutrophils (40%) and

Functionally high Lymphocytes (46%)Deep Tired Face, a bit sad, with puffiness…

since a recent course of prednisone Tx. Which the parents stopped after 3

days.Kid. Pulses deepRemaining pulses: Rapid (108) and very SlipperyI am

approaching the case as a trapped EPI (Viral Infection) With heat effecting the

Shao Yang Channels and concomitant Spleen def. damp and Kidney Qi def. Initial

ATx.: TB 3, TB 17, Sp 9, Herbs: KW's Pediartric Ear Formula 65%+Chuan Xiong

6%Bai Zhi 7%Tian Ma 7%Shi Chang Pu 3%Sheng Jiang 5%Ju Hua 7%Nutritionally,

Advising a diet that avoids foods promoting damp in Spleen.

 

 

 

 

 

 

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[Guest guest]

Trauma can cause disturbance of the otoconia (calcium crystals) in the otolith

organs(within the inner ear) leading to benign paroxysymal positional vertigo.

The diagnostic test is called the Dix-Hallpike maneuver. There is also a

treatment for BPPV called the Epley maneuver, which has a high rate of effect

(95%), plus it can be taught to patients. Easy to do in a clinic.

 

Spinal tap is standard for children/young adults with an unknown etiology

causing neurological sx to rule out CNS infection, esp meningitis.

 

Hope this helps..

 

 

 

Be Ashamed to Die until you have achieved Victory for Humanity!....

--Horace Mann--

 

 

 

ben zappin <btz23

 

Monday, April 7, 2008 2:26:23 PM

RE: Case Study: 9 year old boy with Dizziness

 

 

Jeff,

I've treated a few cases of vertigo and other forms of disequilibration

with herbs and acupuncture but the piece of information I'm going to direct you

to is diagnostic. When I asked a neurologist friend of mine about vertigo he

suggested that more often than not a physical trauma that results in such s & s

has to with the jostling (medical jargon) of the auditory ossicles and that

there is actually a set of positional adjustments they'll put someone through

that can predictably correct this phenomenon. I know this mostly takes into

account what seems like the red herring of your case but it may be a useful

lead.

Best regards,

Ben Zappin, L.Ac.

 

 

: marinhealth: Mon,

7 Apr 2008 18:01:10 +0000 Case Study: 9 year old boy with

Dizziness

 

 

 

 

I am looking for support with this case.Thanks in Advance,Jeffrey Szilagyi

L.Ac.5+ weeks.He can't find his equilibrium without holding on to something,

needs assistance in walking. Watching him looks rather odd, because his feet and

lower body are relatively stable, but his upper body is disoriented, tipsy, he

leads with his head. He complains of feeling like the ground is in motion.Onset

took place following these factors:Strong sore throat just prior, second of two

colds in that time frame.Went to the beach and two days prior- swimming in

chilly Pacific in early March. Reports being tumbled by wave. On further

questioning doesn't sound that strong of a tumble. Reports feeling a chill after

getting out. Also complains of frontal headache, stronger on right side. This is

a more recent symptom.Has had battery of tests: CBC, Multiple MRI's , may be

looking at spinal tap (any opinions on this)WBC's show Acute Viral Pattern:

Functionally higher Total WBC

(7.5) Functionally lower Neutrophils (40%) and Functionally high Lymphocytes

(46%)Deep Tired Face, a bit sad, with puffiness… since a recent course of

prednisone Tx. Which the parents stopped after 3 days.Kid. Pulses deepRemaining

pulses: Rapid (108) and very SlipperyI am approaching the case as a trapped EPI

(Viral Infection) With heat effecting the Shao Yang Channels and concomitant

Spleen def. damp and Kidney Qi def. Initial ATx.: TB 3, TB 17, Sp 9, Herbs: KW's

Pediartric Ear Formula 65%+Chuan Xiong 6%Bai Zhi 7%Tian Ma 7%Shi Chang Pu

3%Sheng Jiang 5%Ju Hua 7%Nutritionally, Advising a diet that avoids foods

promoting damp in Spleen.

 

 

 

 

 

 

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[Guest guest]

, Anton Borja <its_antonborja

wrote:

>Given the slippery and rapid pulses and the indication of viral infection one

might tend to

think of dampness and heat. Inner ear viral infections can go on for 2 to 3

months and

sometimes will chronically return if not totally treated. I have had good

success in these

cases using a decoction or powder which is 50/50 actractylodes and alisma.

Ususally

within2 or 3 days things clearup. The formual is very drying, so shouldn't be

taken for very

long.

 

Pauline Vaughan M.A.(Psych.) D.AC

Natural Medicine Clinic

54 Poyntz Street

Penetanguishene, ON

L9M 1N6

> Trauma can cause disturbance of the otoconia (calcium crystals) in the otolith

organs(within the inner ear) leading to benign paroxysymal positional vertigo.

The

diagnostic test is called the Dix-Hallpike maneuver. There is also a treatment

for BPPV

called the Epley maneuver, which has a high rate of effect (95%), plus it can be

taught to

patients. Easy to do in a clinic.

>

> Spinal tap is standard for children/young adults with an unknown etiology

causing

neurological sx to rule out CNS infection, esp meningitis.

>

> Hope this helps..

>

>

>

> Be Ashamed to Die until you have achieved Victory for Humanity!....

> --Horace Mann--

>

>

>

> ben zappin <btz23

>

> Monday, April 7, 2008 2:26:23 PM

> RE: Case Study: 9 year old boy with Dizziness

>

>

> Jeff,

> I've treated a few cases of vertigo and other forms of disequilibration

with herbs and

acupuncture but the piece of information I'm going to direct you to is

diagnostic. When I

asked a neurologist friend of mine about vertigo he suggested that more often

than not a

physical trauma that results in such s & s has to with the jostling (medical

jargon) of the

auditory ossicles and that there is actually a set of positional adjustments

they'll put

someone through that can predictably correct this phenomenon. I know this mostly

takes

into account what seems like the red herring of your case but it may be a useful

lead.

> Best regards,

> Ben Zappin, L.Ac.

>

>

> : marinhealth: Mon, 7 Apr 2008 18:01:10

+0000Subject:

Case Study: 9 year old boy with Dizziness

>

>

>

>

> I am looking for support with this case.Thanks in Advance,Jeffrey Szilagyi

L.Ac.5+

weeks.He can't find his equilibrium without holding on to something, needs

assistance in

walking. Watching him looks rather odd, because his feet and lower body are

relatively

stable, but his upper body is disoriented, tipsy, he leads with his head. He

complains of

feeling like the ground is in motion.Onset took place following these

factors:Strong sore

throat just prior, second of two colds in that time frame.Went to the beach and

two days

prior- swimming in chilly Pacific in early March. Reports being tumbled by wave.

On

further questioning doesn't sound that strong of a tumble. Reports feeling a

chill after

getting out. Also complains of frontal headache, stronger on right side. This is

a more

recent symptom.Has had battery of tests: CBC, Multiple MRI's , may be looking at

spinal

tap (any opinions on this)WBC's show Acute Viral Pattern: Functionally higher

Total WBC

> (7.5) Functionally lower Neutrophils (40%) and Functionally high Lymphocytes

(46%)Deep Tired Face, a bit sad, with puffiness… since a recent course of

prednisone Tx.

Which the parents stopped after 3 days.Kid. Pulses deepRemaining pulses: Rapid

(108) and

very SlipperyI am approaching the case as a trapped EPI (Viral Infection) With

heat

effecting the Shao Yang Channels and concomitant Spleen def. damp and Kidney Qi

def.

Initial ATx.: TB 3, TB 17, Sp 9, Herbs: KW's Pediartric Ear Formula 65%+Chuan

Xiong 6%Bai

Zhi 7%Tian Ma 7%Shi Chang Pu 3%Sheng Jiang 5%Ju Hua 7%Nutritionally, Advising a

diet

that avoids foods promoting damp in Spleen.

_______________

> Pack up or back up†" use SkyDrive to transfer files or keep extra copies.

Learn how.

> hthttp://www.windowslive.com/skydrive/overview.html?

ocid=TXT_TAGLM_WL_Refresh_skydrive_packup_042008

>

>

[Guest guest]

Jeff,

 

Have they ruled out viral labyrinthitis? The middle ear gets affected

after a viral infection. It can last from a few days to a few months.

Any movement of the head incraeses the dizziness. If that's what it

is, Chuan Xiong Cha Tiao Wan can help if the pattern fits it. Somewhat

similar to your formula.

 

- Bill Schoenbart

 

 

 

, " jeffreyszilagyi "

<marinhealth wrote:

>

> I am looking for support with this case.

> Thanks in Advance,

> Jeffrey Szilagyi L.Ac.

>

>

> 5+ weeks.

> He can't find his equilibrium without holding on to something, needs

> assistance in walking. Watching him looks rather odd, because his

> feet and lower body are relatively stable, but his upper body is

> disoriented, tipsy, he leads with his head. He complains of feeling

> like the ground is in motion.

>

> Onset took place following these factors:

> Strong sore throat just prior, second of two colds in that time frame.

> Went to the beach and two days prior- swimming in chilly Pacific in

> early March. Reports being tumbled by wave. On further questioning

> doesn't sound that strong of a tumble. Reports feeling a chill after

> getting out.

>

> Also complains of frontal headache, stronger on right side. This is a

> more recent symptom.

>

> Has had battery of tests: CBC, Multiple MRI's , may be looking at

> spinal tap (any opinions on this)

> WBC's show Acute Viral Pattern: Functionally higher Total WBC (7.5)

> Functionally lower Neutrophils (40%) and Functionally high

> Lymphocytes (46%)

>

> Deep Tired Face, a bit sad, with puffiness… since a recent course of

> prednisone Tx. Which the parents stopped after 3 days.

> Kid. Pulses deep

> Remaining pulses: Rapid (108) and very Slippery

> I am approaching the case as a trapped EPI (Viral Infection)

> With heat effecting the Shao Yang Channels and concomitant Spleen

> def. damp and Kidney Qi def.

> Initial ATx.: TB 3, TB 17, Sp 9,

> Herbs: KW's Pediartric Ear Formula 65%

> +

> Chuan Xiong 6%

> Bai Zhi 7%

> Tian Ma 7%

> Shi Chang Pu 3%

> Sheng Jiang 5%

> Ju Hua 7%

> Nutritionally, Advising a diet that avoids foods promoting damp in

> Spleen.

>