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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness When Turning The Head To Left. History Of Stints In Brain Due To Strokes. Normal Results In MRI. Any Ideas?

Hi,

I have 2 stints in my brain from strokes and a few months later I noticed I got dizzy, room turning around dizzy when I turned my head to the left. My neuro sent me to several MRI's and nothing to indicate any bleeders and such. My ENT wanted me to get a VNG but lost my ins. I'm going to get a new neuro, is there something you can tell me as to why this is happening
Mon, 22 Jul 2013
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General & Family Physician 's  Response
Hello,
Welcome to healthcaremagic. Dizziness is commonly experienced in life by most of the people who had stroke. It is more common if you had brain stem stroke. It may be due to vestibular disequilibrium. There are exercises to manage dizziness after stroke.
1) Move head, left-right, up-down, diagonally while standing. For safety, stand in a corner facing the back of a high-backed substantial chair, holding onto the chair back while moving head around, repeat.

2) Move head, left-right while walking. For safety, do with someone at your side or holding onto your therapy belt. Practice moving the head side to side while slowly walking.

3) Move head, left-right, up-down while lying in bed. Using one finger, move it from 1 to 3 feet away and back again. Repeat.

4) Move head from side to side, leaving body facing forward, while sitting.

5) Stand up-sit down, repeat. Sit-stand-turn upper torso to one side, repeat turning upper torso to other side.

6) Turn head toward ceiling-down to floor, while sitting. Repeat.

7) Bend from waist-extend arms over head, moving head up/down with body while sitting or standing. Repeat.

8) Stoop, reach with big ball between hands, moving head with ball, up-down-diagonally. Repeat.

Take care
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

From the description of symptoms, I think you are suffering with VERTIGO. Also called as BPPV (benign paroxysmal positional vertigo). This word itself is self explanatory
BENIGN - not harmful or dangerous
PAROXYSMAL - occurs suddenly
POSITIONAL - occurs in certain head positions (in your case turning of head)
VERTIGO - a sense of movement of the body or the surroundings

Usually this vertigo is the result of disturbance in the vestibular system of the INNER EAR. Though there are many causes, this is the commonest.

This condition responds excellently for anti histamine preparations like Betahistine. But you need a thorough evaluation by a neurophysician and ENT surgeon to define the exact cause of vertigo.

So take their consultation and follow their advice accordingly.

Hope this information is helpful. Good day

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Dizziness When Turning The Head To Left. History Of Stints In Brain Due To Strokes. Normal Results In MRI. Any Ideas?

Hello, Welcome to healthcaremagic. Dizziness is commonly experienced in life by most of the people who had stroke. It is more common if you had brain stem stroke. It may be due to vestibular disequilibrium. There are exercises to manage dizziness after stroke. 1) Move head, left-right, up-down, diagonally while standing. For safety, stand in a corner facing the back of a high-backed substantial chair, holding onto the chair back while moving head around, repeat. 2) Move head, left-right while walking. For safety, do with someone at your side or holding onto your therapy belt. Practice moving the head side to side while slowly walking. 3) Move head, left-right, up-down while lying in bed. Using one finger, move it from 1 to 3 feet away and back again. Repeat. 4) Move head from side to side, leaving body facing forward, while sitting. 5) Stand up-sit down, repeat. Sit-stand-turn upper torso to one side, repeat turning upper torso to other side. 6) Turn head toward ceiling-down to floor, while sitting. Repeat. 7) Bend from waist-extend arms over head, moving head up/down with body while sitting or standing. Repeat. 8) Stoop, reach with big ball between hands, moving head with ball, up-down-diagonally. Repeat. Take care