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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness, Nose Bleeds And Pressure In The Head?

My friend had a car accident about a month ago where the airbag was deployed. Now she has dizzy spells, nose bleeds, pressure in her head, loss of speech, loss of movement. These episodes last anywhere from 15 mins to 45 mins. We went to er cat scan negative. Any ideas?
Thu, 12 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

It is very reassuring that the CT scan comes out normal, it is sensitive in ruling out hemorrhages in the brain. To better rule out other brain damages or tumors an MRI would be more accurate so probably it would be advisable for her to have an MRI done as well.

Another test to consider is EEG. This would examine her brain waves and rule out epileptic episodes. Sometimes epileptic episodes depending on the localization of the source might cause neurological symptoms while they happen (like speech problems or problems with movements). This is very important especially because her symptoms are episodic (in episodes 15-45 minutes).

Hope I have answered your query.
Let me know if I can assist you further.

Kind regards,
Antoneta Zotaj, MD
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What Causes Dizziness, Nose Bleeds And Pressure In The Head?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is very reassuring that the CT scan comes out normal, it is sensitive in ruling out hemorrhages in the brain. To better rule out other brain damages or tumors an MRI would be more accurate so probably it would be advisable for her to have an MRI done as well. Another test to consider is EEG. This would examine her brain waves and rule out epileptic episodes. Sometimes epileptic episodes depending on the localization of the source might cause neurological symptoms while they happen (like speech problems or problems with movements). This is very important especially because her symptoms are episodic (in episodes 15-45 minutes). Hope I have answered your query. Let me know if I can assist you further. Kind regards, Antoneta Zotaj, MD