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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Vertigo Attack In A High Blood Pressure With Swelling Of Tongue?

Hello,
Yesterday my mother suffered from a vertigo attack. She is 37 years old, and has iron deficiencies and a high blood pressure. A doctor gave here medicines and 3 injections. Today, she was feeling very drowsy, and said her face felt different. She described her tongue as swollen. Just now, her speech became rather different after her tongue swelled on the left side. My father just took her to the hospital. Any ideas why this happened, sir?
Mon, 29 Jun 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

Your mother symptoms may be caused by different disorders:

1- An allergy reaction to the drugs she has been prescribed
2- A possible stroke (ischemic or hemorrhagic), causing slurred speech. High blood pressure is a known risk factor for ischemic or hemorrhagic events in the brain.
3- A peripheral facial palsy (a damage to the facial nerve in the left side), but this would also cause a visible left facial asymmetry. A peripheral facial palsy may be preceded by vertigo.

I would recommend to consult with the GP for a careful physical examination, blood pressure monitoring, a routine blood test, fasting glucose, liver and kidney function tests and electrolytes.

A brain CT scan may be necessary if a stroke is suspected during the physical examination.

Hope to have been of help!

Greetings! Dr. Iliri
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What Causes A Vertigo Attack In A High Blood Pressure With Swelling Of Tongue?

Hello! Thank you for asking on HCM! Your mother symptoms may be caused by different disorders: 1- An allergy reaction to the drugs she has been prescribed 2- A possible stroke (ischemic or hemorrhagic), causing slurred speech. High blood pressure is a known risk factor for ischemic or hemorrhagic events in the brain. 3- A peripheral facial palsy (a damage to the facial nerve in the left side), but this would also cause a visible left facial asymmetry. A peripheral facial palsy may be preceded by vertigo. I would recommend to consult with the GP for a careful physical examination, blood pressure monitoring, a routine blood test, fasting glucose, liver and kidney function tests and electrolytes. A brain CT scan may be necessary if a stroke is suspected during the physical examination. Hope to have been of help! Greetings! Dr. Iliri