Vertigo of central origin
"Patient reported severe insidious vertigo for 2 weeks. Was seen in the ER. CT scan and bloodwork performed, both were inconclusive. Patient was sent to ENT specialist who noted mild fluid in her ears, but no sign of infection. Upon presentation to our office the patient had no improvement in symptoms over the past two weeks. She was unable to drive herself, and had not been able to present to work over this time period. Her sleep had suffered as the room would spin when she changed positions in bed. Thorough examination was performed, and no signs of stroke were present. Vitals were normal. All indications were that her vertigo was of central origin. First adjustment yielded around a 50% improvement according the patient. She could still provoke dizziness in certain positions or with certain movements, but it was occurring less intensely. After the second adjustment, the patient reported 100% improvement of symptoms, was fully functional, and had returned to work."