Patient's Query
Hello doctor,
Five months before, I had a vertigo attack, and my head was spinning when I closed my eyes. As days passed, the dizziness persisted 24/7, and after motion, it increased. Inside a car, bus, or train, or while moving in a vehicle, I feel free, but while walking, I feel dizzy.
Now there is non-spinning dizziness. When I lie down, I feel free, but when I work by bending my neck, I feel dizzy. It has already been more than five months. Now, even when I close my eyes and half-sleep, I get a head-spinning sensation, and my body gets numb. As soon as I open my eyes, it goes away.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have gone through your query and understand your concern.
Your symptoms suggest a chronic dizziness condition rather than a serious brain disease, especially because your CT (computed tomography) brain scan, ECG (electrocardiogram), thyroid tests, and blood tests are normal.
The pattern you describe is commonly seen in persistent postural-perceptual dizziness (PPPD), a chronic dizziness disorder that worsens when you are upright, or chronic vestibular imbalance (a disturbance in the body's balance system) after a previous vertigo attack.
Five months ago, you likely had an acute vestibular problem, such as vestibular neuritis (a condition that affects the vestibular nerve, which connects the inner ear to the brain), BPPV (benign paroxysmal positional vertigo, a common inner ear disorder), or inner ear imbalance. After the initial attack resolves, the brain can sometimes remain oversensitive to motion, posture, and visual stimuli, leading to persistent dizziness.
Your description fits this pattern well. Dizziness while walking, bending the neck, or standing, but feeling better when lying down, is typical of vestibular imbalance. Feeling better inside a moving vehicle also supports this diagnosis because the brain receives continuous motion signals, which temporarily stabilize balance perception.
Non-spinning dizziness with a heaviness or floating sensation is also common in PPPD. Many patients describe imbalance, brain fog, or rocking sensation rather than true spinning. The sensation of spinning when you close your eyes or during half-sleep happens because when the eyes are closed, the brain loses visual balance input and relies more on the inner ear system, which may still be sensitive.
The temporary numbness feeling when waking from half sleep is usually related to anxiety, hyperventilation, or autonomic nervous system response, which often accompanies long-standing dizziness.
The good news is that this condition is treatable and not dangerous. The main treatments usually include vestibular rehabilitation exercises, balance training, and, sometimes, medications such as Betahistine or low-dose SSRIs (selective serotonin reuptake inhibitors) to calm the balance centers of the brain.
Regular walking, physiotherapy for vestibular training, good sleep, and stress control are very important for recovery. Most patients gradually improve over a few months with proper treatment.
If symptoms continue, I recommend an ENT (ear, nose, and throat specialist) or neurologist evaluation with vestibular examination and an MRI (magnetic resonance imaging) of the brain with an inner ear protocol, mainly to confirm the diagnosis and guide treatment.
Overall, based on your history and normal tests, this condition is most likely a functional vestibular disorder and is usually reversible with proper therapy.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
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Answered byDr. Prakashkumar P Bhatt
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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