What could be the reason behind persistent vertigo and nausea which gets worse when the person lies down?

Question

Hello doctor,

I have had vertigo and nausea for seven days. It gets worse when I lie down. I received my brain MRI images but the reports are yet to come. Can you look at these images and give me an idea? I am unable to get an appointment for three days. I have a medical history of vertigo, nausea, and tinnitus on and off for the last three months. I am taking tablets of Esomeprazole and a tablet of Prochlorperazine for this condition.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

I saw your uploaded images (attachments removed to protect the patient's identity). These are just two cuts of a SWI (susceptibility-weighted imaging) series of brain images. These are not enough to give you a diagnosis. What can I say based on these two images is that there is a suspicious small round dark signal in your right side occipital-parietal area of the brain that could be a signal of bleeding at that location. Nevertheless, please consider that it might be happened at any time in the past up to the current moment. Without looking at the whole MRI (magnetic resonance imaging) sequences, nothing more can be inferred. In the end, I can add that this single abnormality cannot be the cause of your complaint. If your MRI would not reveal any other emergent extra problem, your symptoms of vertigo, nausea, and tinnitus are more suggestive of Meniere's disease and would need an ENT (ear, nose, and throat specialist) consult.

I hope I have answered your question. Let me know if I can assist you further.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

The image of your previous MRI report is cut and I could not read all the text till the end. Nevertheless, that report is about a venous anomaly in your right cerebellum, while I see a lesion in your right occipital area that is a different location. I cannot see your cerebellum in the uploaded images, because you have just uploaded two cuts that do not include the cerebellar area. The lesion that I indicated to it, is in the cerebrum (not the cerebellum); therefore, it is a different lesion.

I hope I have answered your question. Let me know if I can assist you further.

Regards.