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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vision Loss, Migraines With Dizziness And Syncope?

Hello. I have a question. I have been blacking out for over 6 years now. It doesn t matter what I am doing just all of a sudden I will get dizzy, feel sick and not be able to see anything. I have fallen down and haven t been able to get up for a few minutes as well. I have had constant and severe migraines for 6 years as well. I drink a lot of water. That is basically all I drink. I have the right amount of sugar that I am suppose to have. Lately these black outs are happening a minimum of 10 times a day. I thought that maybe it was stress but its been happening for so long and its happened during the times when I was completely stress free.
Mon, 23 Feb 2015
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Neurologist 's  Response
Hello!
I understand your concern.
In my opinion these faintings called syncopes can be caused by an orthostatic hypotension, a heart problem or even epilepsy. Migraine can be exacerbated by orthostatic hypotension , the most probable diagnosis in your situation.
I would recommend further examinations like : a full blood cell count to rule out anemia, a HeadUpTilt test for orthostatic hypotension, an ambulatory ECG monitoring for cardiac arrhythmias.
An EEG followed by a brain MRI if abnormal EEG finding would be helpful to rule out atonic epilepsy , although less probably based on your symptoms.
Hope to have been helpful!
Thank you for using HCM!
Best wishes
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What Causes Vision Loss, Migraines With Dizziness And Syncope?

Hello! I understand your concern. In my opinion these faintings called syncopes can be caused by an orthostatic hypotension, a heart problem or even epilepsy. Migraine can be exacerbated by orthostatic hypotension , the most probable diagnosis in your situation. I would recommend further examinations like : a full blood cell count to rule out anemia, a HeadUpTilt test for orthostatic hypotension, an ambulatory ECG monitoring for cardiac arrhythmias. An EEG followed by a brain MRI if abnormal EEG finding would be helpful to rule out atonic epilepsy , although less probably based on your symptoms. Hope to have been helpful! Thank you for using HCM! Best wishes