What does my MRI taken for dizziness and headaches indicate?

Hi,

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I understand the issue. In my opinion, the finding in your MRI (Magnetic Resonance Imaging) suggests that some of the nerve coverings (neuronal coverings) in your brain have weakened. The changes are subtle, not to that extent when we can call it a disease. Giddiness you have is very less likely to be directly related to these changes but we can relate it to the probably associated weakness in the coverings of the balance nerves. Please let me know in detail about the pattern of your giddiness. Is it present all the time? Or episodic? Is it more when you are in stress? Is it associated with hearing problems? Do you hear any extra sounds from your ear? Please let me know so that we can discuss further.

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Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

No, this is certainly not multiple sclerosis. But what is more likely is Meniere's disease. Stress related to episodic giddiness due to internal ear dysfunction. Other than giddiness symptoms, it can be related to vitamin B12 deficiency and stress. There are a lot of patient information articles available, you can read about them to understand Meniere's disease in detail. Stress relieving activities meditation and exercises will help. Better to stop smoking, please. Must be done gradually over a period of time. If you stop suddenly, your symptoms will worsen.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.

Hi,

Welcome back to icliniq.com.

Yes, I have seen and read the attached file. It is not required to have internal ear MRI (Magnetic Resonance Imaging) changes for Meniere's. If changes are there it is confirmatory. Meniere's is basically caused by intermittent sodium potassium level imbalances secondary to stress. This minute electrolyte imbalance has not been seen on MRI. In MRI what we can see is an extreme form of disease where there is a structural change in the internal ear. B12 lab test results are not always reliable but in my practice, I have seen sensory symptoms responding well to B12 supplements. Anyway, there is no side effect of B12 supplements. It is a water-soluble vitamin and does not get stored in the body to cause side effects. You can go for it.

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

For relief from the dizziness, you can take tablet Zevert 24 milligrams thrice a day after food, tablet Stemetil MD 5 milligrams twice a day after food. Your sensory symptoms are expected to improve with B12 supplements. You can continue for another month. For anxiety, tablet Nexito LS at bedtime would be a good one. If your headache does not settle still, then you can consider tablet Topiramate 25 milligrams at bedtime for 21 days along with tablet Flunarizine 5 milligrams at bedtime for 21 days. Both tablets are to be taken at bedtime. Do not worry, your symptoms are not a very serious thing to worry about especially when your MRI does not show any major changes. It will settle eventually.

Thank you for consulting me.

You can always come back and reach me at icliniq.com.