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Suggest Treatment For Severe Vertigo In A Hypertensive Person
Question: Hi,
My father is facing with mild to severe vertigo feeling since last 1 week. He is a hypertension patient but on High BP medication since last 25 years and BP is now controlled during medicine effect. When we went to hospital to check if vertigo is because of High BP, BP came out as normal. Then our physician recommended for MRI Brain. We have gone through the MRI and MRI report is attached for reference. Please refer the MRI Brain report and suggest the situation if is there anything to worry about in the report.
My father is facing with mild to severe vertigo feeling since last 1 week. He is a hypertension patient but on High BP medication since last 25 years and BP is now controlled during medicine effect. When we went to hospital to check if vertigo is because of High BP, BP came out as normal. Then our physician recommended for MRI Brain. We have gone through the MRI and MRI report is attached for reference. Please refer the MRI Brain report and suggest the situation if is there anything to worry about in the report.
Brief Answer:
MRI report interpretation, relation with vertigo and management
Detailed Answer:
Hi Gpi XXXXXXX thanks for asking from HCM.
I can understand your concern. Your father is 62 years old and hypertensive. Age and hypertension affect all arteries. This leads to cerebral arterial narrowing, small sized arterial block and later on ischemic changes. Decreased blood supply also leads to decreased nutrition to brain and rapid cerebral atrophy.
The MRI brain report of your father is suggesting above findings. Those multiple diffuse ischemic or gliotic changes are due to small arteries block and atrophy is overall decreased blood supply.
MRI report is not suggesting anything life threatening. It is a chronic age related changes. Please don't worry about it. Also the findings are irreversible. To reduce further deterioration, you can follow few tips
- Control BP
- Decrease fat and salt intake.
- Eat more fruits and green vegetables
- Drink 2.5-3 litre of water
- Ask him to do Yoga
Now coming to the complaint of vertigo, it can be due to
- Above mentioned changes
- Cervical spondylosis - You have not given any history of neck pain, tingling in extremities. But if there is any, it must be ruled out. At 62 years age, cervical spondylosis is a common complaint.
It can be ruled out by MRI cervical spine.
- Cerebellar atrophy - Cerebellar atrophy is a common cause of central vertigo.
- Ear disease - If other causes are ruled out, please get vestibular tests done. It includes dynamic visual acuity, Hallpike manoeuvre, nystagmography. It can be done by ENT doctor.
Hope it will help you. If still any doubt, do let me know.
Thanks. Take care.
MRI report interpretation, relation with vertigo and management
Detailed Answer:
Hi Gpi XXXXXXX thanks for asking from HCM.
I can understand your concern. Your father is 62 years old and hypertensive. Age and hypertension affect all arteries. This leads to cerebral arterial narrowing, small sized arterial block and later on ischemic changes. Decreased blood supply also leads to decreased nutrition to brain and rapid cerebral atrophy.
The MRI brain report of your father is suggesting above findings. Those multiple diffuse ischemic or gliotic changes are due to small arteries block and atrophy is overall decreased blood supply.
MRI report is not suggesting anything life threatening. It is a chronic age related changes. Please don't worry about it. Also the findings are irreversible. To reduce further deterioration, you can follow few tips
- Control BP
- Decrease fat and salt intake.
- Eat more fruits and green vegetables
- Drink 2.5-3 litre of water
- Ask him to do Yoga
Now coming to the complaint of vertigo, it can be due to
- Above mentioned changes
- Cervical spondylosis - You have not given any history of neck pain, tingling in extremities. But if there is any, it must be ruled out. At 62 years age, cervical spondylosis is a common complaint.
It can be ruled out by MRI cervical spine.
- Cerebellar atrophy - Cerebellar atrophy is a common cause of central vertigo.
- Ear disease - If other causes are ruled out, please get vestibular tests done. It includes dynamic visual acuity, Hallpike manoeuvre, nystagmography. It can be done by ENT doctor.
Hope it will help you. If still any doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
