ADVERTISEMENT
ADVERTISEMENT

Q. I get dizziness when I look up or get up. What is causing this?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 06, 2018 and last reviewed on: Oct 27, 2022

Hello doctor,

I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The episodes have been happening on and off for the last year, in which I have had three MRIs, a full cognitive function test, a full set of blood tests, a count, liver, kidney, cardiac panel, arthritis, and sleep apnea test. I have also had a cardiac stress test, 24-hour Holter monitor, 5-day event monitor, and echocardiogram, and these were all negative (no abnormalities were picked up). However, of late, I have found that these episodes have been getting more frequent. Could you advise if this could be intracranial pressure, a tumor, seizures, epilepsy, or some neurodegenerative disease?

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I carefully read your question and explained that your symptoms do not seem to be related to intracranial hypertension or any other disorders.

An inner ear disorder, vertigo, or epilepsy may lead to such a clinical situation. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder.

If this test result is normal, I would recommend performing an EEG.

It is necessary to check also thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful.


Thank you, doctor,

Please be advised that I already have an exercise stress test, echocardiogram, ECG, 24 Holter monitor, and 5-day event monitor, which were negative. Could these episodes be epilepsy, and if so, would an EEG be the best next step? If not, what diagnostic tests do you advise going for? In your professional opinion, what do you think these symptoms could be related to?

#

Hello,

Welcome back to icliniq.com.

It is not typical for epilepsy seizures to be triggered by looking up or standing up position. Anyway, an EEG would help exclude this possibility.

Cervical spine chronic degeneration can trigger all these clinical scenarios too. For this reason, it is important performing a cervical column X-ray study.

I recommend consulting with an ENT specialist and performing labyrinthine tests, as inner ear dizziness is usually triggered by head movements (like in your case).

Another possibility to consider is orthostatic hypotension, a disorder characterized by decreased blood pressure values when standing up or sitting from a lying position. Again, head Up Tilt test would help investigate this disorder.

Regarding intracranial hypotension, we can exclude this possibility as repeated brain MRI studies have resulted in normal.

It would help if you discussed the matter with your doctor on the above tests. Hope you will find this answer helpful.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Is tinnitus a side effect of AZO?

.. have elaborated on your symptoms very meticulously, I still require some more details. Is there any hearing loss? Do you have any fullness of the ear? The tingling feeling, is it permanent? Do you have any giddiness? Any change of ear fulln...   Read full

What causes dizziness and blackout with swollen throat?

.. descriptive history, I come to the conclusion that it started off as a viral infection (a sore throat) and has progressed to a secondary bacterial infection which has manifested as a cough with phlegm and due to phlegm accumulation in your sinuses...   Read full

What Causes Vertigo?

Causes A few common vestibular diseases causing vertigo are: Benign Paroxysmal Positional Vertigo (BP...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»
Osteoporosis: an Important Public Health Problem
Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.