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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Imbalance Issues And Difficulty Standing Up?

hi Two years ago I had a fall and needed a CT scan of the head. It showed enlarged ventricles and a silent stroke, It was decided that I was born with the low pressure hydrocephalus. I had am MRI last year, It showed no further changes. This September I started falling down on my left side with difficulty standing up without help. I was having to use a cane. I saw a neurologist and had another Ct scan today and will have an EMG in Dec. My falling has stopped and my walking has improved in the last couple of weeks and no longer have any symptoms. Your opinion please. Thanks. Marge
Fri, 22 May 2015
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  User's Response
Hello!
Thank you for your question on HCM!
Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain.
Another cause of repeated falling may be the hydrocephalus, which can certainly cause gait problems.
I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy.
Hope to have been helpful!
Greetings!
Dr. Aida
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What Causes Imbalance Issues And Difficulty Standing Up?

Hello! Thank you for your question on HCM! Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain. Another cause of repeated falling may be the hydrocephalus, which can certainly cause gait problems. I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy. Hope to have been helpful! Greetings! Dr. Aida