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What Causes Dizziness?

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Posted on Wed, 4 Jun 2014
Question: recent rotator cuff surg, Artho MRI + for further damage. Prior dizzy spells when i laid down. On exit from MRI, seizured 2x's. BP=175/107,dizzy cont's. Cause?
doctor
Answered by Dr. Indu Kumar (21 minutes later)
prior dizziness is may be secondary to high blood pressure and post MRI such spells may be due to same reason and sometimes if you did contrast MRI it may sometimes lead to such complain. consult your orthopedic for the same. as rotator cuff surgery recently done and is there any complication regarding to that or not?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Indu Kumar (8 hours later)
BP usually in normal range. Dizziness started 3-4 days prior. Had Arthogram 24 hrs before for other MRI & have had before with no reaction. Yes, complication post surgery. Labrum torn at 1st physio session, impingement of supraspinitus, etc. severe pain positionally during 40 minute MRI then immediately seisures after while still in imaging room. Opposite BP reaction to vasavegal reaction, spiked high rather than dropped suddenly. Dizziness continues on lay down 2 weeks post MRI. BP still in normal perameters.
doctor
Answered by Dr. Indu Kumar (51 minutes later)
Brief Answer:
You need proper clinical exam & investigations.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

For persistent dizziness,you need proper clinical examination and investigations.

In your case,it may be due to anxiety about the illness from which you are suffering.

You should also consult ENT specialist.Internal ear problem should be ruled out.
Causes like Meniere's disease,Benign Paroxysmal Positional Vertigo (BPPV) related to internal ear should be ruled out.

It is important to know about medicines that you regularly take which may lead to dizziness.
It is also important to rule out conditions like dehydration,anemia,high or low blood pressure,cervical spondylosis which may lead to dizziness.

You should drink 8 to 10 glasses of water daily and also consume other fluids. This keeps the body well hydrated.
You should avoid smoking and caffeine and while lying down or getting up,make sure you are slow in your movements.

You need few tests like an audigram,blood sugar,hemoglobin level and a positional test called hallpike test.

Empirically you can take Vertin tab 16 mg for a day ( 3 divided dose) and later to continue the same tablet in 8 mg for another 6 days.

You can consult neurologist for proper evaluation.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Causes Dizziness?

prior dizziness is may be secondary to high blood pressure and post MRI such spells may be due to same reason and sometimes if you did contrast MRI it may sometimes lead to such complain. consult your orthopedic for the same. as rotator cuff surgery recently done and is there any complication regarding to that or not?