Is A Brain MRI Necessary For Light Headedness And Imbalance Issues?

Posted on Thu, 16 Jun 2016

Question: I had a Brain MRI 4 months ago all normal . Lately been feeling a little lightheaded and off balance . New doc has orderd another MRI with and without contrast . Is this nessecary

Answered by Dr. Neeraj Kumar (17 minutes later)

Brief Answer:
Repeat Mri needed if neurological deficit present

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Is there any abnormalities in previous Mri?
The symptoms of lightheadedness is regular or episodic?
Any speech abnormalities, walking difficulties, weakness, facial deviation or loss of consciousness?
In case no definite neurological deficits present then no need for repeat Mri.
Hope you found the answer helpful.
Do get back with details.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Neeraj Kumar (9 minutes later)

Episodic lightheadnesd .,i have bulging and herniated disk in neck c4/5 and C6/c7 and stenosis could this be causing the ightheadness . Its haopens when i look down

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Possibility of cervical spondylosis

Detailed Answer:
Hello,
Episodic lightheadedness may be due to postural hypotension, cardiac illness, cervical spondylosis.
Get your blood pressure measured. Neck isometric exercises for cervical problems.
Provide reports and images of previous Mri.
Take good amount of Fluids, avoid sudden change in posture and extreme neck movements.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Neeraj Kumar (42 minutes later)

Here are recent Mri scans

Answered by Dr. Neeraj Kumar (50 minutes later)

Brief Answer:
Repeat MRI required only in presence of clinical deterioration

Detailed Answer:
Hello,
The MRI shows changes of cervical spondylosis. No need to get another MRI if the symptoms have not progressed much or any weakness, sensory loss or wasting present in upper limbs.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Neeraj Kumar (3 hours later)

So i am getting a balance test on thursday . If that checks out do you think physical therapy is good for my neck

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
Go for neck isometric exercises

Detailed Answer:
Hello,
Get this test and review with result.
Neck exercises can be started thereafter. It definitely helps in cervical spondylosis but should be learned under able physiotherapist.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (9 hours later)

Here is brain mri

Answered by Dr. Neeraj Kumar (22 hours later)

Brief Answer:
Brain Mri normal

Detailed Answer:
Hello,
Brain Mri is normal and not related to present complains.
Continue treatment and physiotherapy as advised.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad