Question: I get dizzy walking slowly which disappears walking quickly or jogging. I have lazy eye in right eye giving me a momentary blind spot when looking to the right. Dizziness worsens when I look right and left searching shelves shopping supermarkets. The dizziness stops when I sit down. Dizziness seems to worsen in hot weather, lessens when walking into cold headwind. I feel weak, like I'm floating, like I'm drunk but without euphoria and lose some of my ability to walk a straight line. My blood pressure is low 100-110/50-60 at rest, I also have osteoporosis, and cervical osteoarthritis. I get chest pressure sleeping at night.

Normal pressure hydrocephalus has never been mentioned by my PCP or my neurologist in discussion of my dizzy spells(which have been slowly worsening since inception about 1992). I studied info on N.P. hydrocephalus in my Mayo Clinic Family Health Book after reading your response, I as well see a correlation.

At age 40, I had a concussion with 24+ hour memory loss from a fall from a treadmill but I had no brain scans afterward.

At age 47 I had a spell of maybe 3 months duration of seizures in which I would remain conscious, slip to the floor or ground and gently convulse with then return completely normal. None since.

At age 71 my ophthalmologist ordered a brain MRI for cause or connection to my double vision. Impression was sixth nerve palsy with no mass enhancement and with small foci of gliosis likely sequela of prior trauma. ( the concussion?)

At the present time, I have urge incontinence with leakage and symptoms for the past 4 months qualifying as a diarrhreal form of Irritable Bowel Syndrome.

My question:

Are there any diagnostics and treatment for someone of my age to relieve my dizzy spells if they can be connected to normal -pressure hydrocephalus?

I will be discussing this with my PCP this coming Monday.

Thank you , Dr. Spaho, for your attention to my problem.

Dr. Spaho,

I had an MRI Brain with and with out contrast collected 1/06/2018.
Impression: Atrophy but otherwise unremarkable MRI of the brain with and without gadolinium.

1/ Does this result the eliminate the possibility for normal pressure hydrocephalus as a cause of my dizziness which has been with me for 20 + years?

2/ Does a Holter Monitor measuring ECG while walking give any evidence of unstable blood pressure i.e. Would the ECG data reveal abnormal sudden drops in blood pressure which would cause light headedness during very slow paced walking with pauses (for example) window shopping? With my already low blood pressure a small drop further seems a plausible cause of my dizziness.

Thanks again for your help,
XXXXXXX Veccharella