
Having Dizzy Spells. On Coverram For BP But Rises When Standing. CT Scan Showed Bone Spurs On Neck. Suggest?

Vertigo could be due to BPPV or bone spur related
Detailed Answer:
Hi,
Thank you for posting your query.
First of all, I would like to reassure you that your symptoms do not suggest any serious neurological illness.
The most likely cause for your dizzy spells could be benign positional paroxysmal vertigo (BPPV). In this condition, there is mild dysfunction in the middle ear, which improves with vestibular adaptation exercises, and over time on its own.
Bone spurs in the cervical region could also lead to dizzy spells. This also improves with physiotherapy and neck extension exercises.
Medications that could be of help are betahistine to relieve dizziness and piracetam, which is helpful in BPPV.
I hope it helps.
Please get back if you require any additional information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,


You can find them online
Detailed Answer:
Thank you for getting back.
Chiropracter and physiotherapist would be able to help in both vestibular as well as neck extension exercises. If they are not available, then some links online are:
For vestibular exercises
WWW.WWWW.WW
For neck exercises
WWW.WWWW.WW
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


POTS is a possibility
Detailed Answer:
Thank you for getting back.
POTS could be a possibility in your case. Typically, in this condition, the person has lightheadedness on getting up from supine or sitting position. Heart rate and pulse rises, however, BP usually falls. Rise in BP is uncommon. Sometimes, fainting also occurs. HUTT (head up tilt test) can be done under the guidance of a cardiac electrophysiologist to confirm the diagnosis.
Bone spurs are not related to POTS.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


Physiotherapy and neck exercises are the best way
Detailed Answer:
Thank you for getting back.
Physiotherapy, including neck exercises, neck traction, etc are the best and simplest ways of treating this condition.
In selected cases, where the symptoms do not resolve, after careful consideration by a neurosurgeon or spine surgeon, surgical excision of bone spurs can also be done.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


Cervicogenic headaches could be the cause
Detailed Answer:
Hi,
Thank you for getting back.
I agree that cervicogenic headaches could be a cause and can explain your symptoms of headache and light headedness. However, it should be noted that cervicogenic headaches are commonly caused by disc prolapse and pinched nerves in the neck. Also, it can occur in people with a lot of stress and tension, and excessive work on computers (10-12 hours per day).
Bone spurs usually do not cause cervicogenic headaches, but can be a cause in minority.
Treatment would include medications such as amitriptyline or dothiepin, physiotherapy and chiro treatment. In some cases, botox injections also help.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


It is a clinical diagnosis
Detailed Answer:
Thank you for getting back.
Your work and lifestyle could be contributing to your symptoms. It would be useful discussing this with your GP.
This is a clinical diagnosis and there are no tests to confirm the diagnosis.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
