Patient states that she has had no head injuries, past or present. Patient states she has never suffered from vertigo or dizziness. BB states that she rarely suffers from generalized headaches. Patient avoids taking pain relievers of any kind when she does present with head pain.
Patient is a 58-year-old right-hand white male interviewed in the presence of his wife. He was previously seen by me last month for admission for the acute onset of vertigo with possible TIA or stroke as etiology. He stated that he awoke on 06/18/2015 in his usual state of health and then went to work and while there, he had the sudden onset of marked spinning vertigo. He was unable to walk straight, but denied any bilateral lower extremity weakness. He did have nausea and vomited several times. He initially denied any diplopia, visual field cut, blurred vision, facial asymmetry, facial or body sensory changes, dysarthria, or focal weakness. He continued to have marked vertigo in the emergency room,
Mr. Brown presented in the hospital after a syncopal episode observed by his wife with complaint of dizziness and lightheadedness. Syncope, the result of the sudden drop of blood pressure
In severe attacks of vertigo it is possible to experience sweating diarrhoea and heart palpitations. (NHS, 2012)
An 88 years old male referred to CARE-PACT with presyncope/ dizzy episodes. He has had multiple presentations to the local emergency department (ED) in the past four months with similar symptoms and had investigation including computer tomography (CT) scan, pathology and electrocardiogram (ECG). But no formal cause was found for the presyncope and dizziness and was discharged back to the residential aged care facility (RACF) after each ED visit.
Scharf utilized Diagnosis Related Estimate cervical category II and assigned an 8% Whole Person Impairment. Dr. Scharf noted the MRI study of the cervical spine right disc extrusion at C5-C6, but there are no verifiable radicular symptoms in light of the result of the EMG/NCV studies, despite the applicant’s subjective complaints of radicular symptoms into the bilateral upper extremities. Since there are no verifiable radicular symptoms, the placement into DRE category II seems appropriate.
Carey reported that she experienced occasional numbness of the upper extremities and that she would occasionally drop objects from both hands. Upon physical examination, Dr. Abiera noted that Ms. Carey’s range of motion of the cervical spine was decreased on flexion and tenderness on palpation of posterior cervical muscles with spasms and trigger points was present. In addition, Dr. Abiera noted that the range of motion of lumbar spine was within normal range, however there was still some tenderness on palpation of thoracic paraspinals muscles.
Whole body symptoms include balance disorder, fatigue, lightheadedness, or vertigo. Visual symptoms include blurred vision, double vision, sudden visual loss, or temporary loss of vision in one eye. Speech symptoms include difficulty speaking, slurred speech, or speech loss. Sensory symptoms include pins and needles or reduced sensation of touch. Facial symptoms include muscle weakness or numbness. Limb symptoms include numbness or weakness. Other common symptoms include difficulty swallowing, headache, inability to understand, mental confusion, or rapid involuntary eye
12/16/15 Progress Report indicated that the patient wakes up with headaches. She mentioned headache in the frontal vertex or temporal occipital areas. She also feels imbalance. She denies bruxism and has no significant neck symptoms. She reported having some minor neck tightness. She was being treated with acupuncture 2 X per week and craniosacral therapy 2 X per week. She noted that she was able to read better in the past two weeks. She had difficulty scanning a written page in the past. She also mentioned that her insomnia has slightly improved since initiating these 2 therapies. Physical exam showed no palpable spasms in her cervical region over her muscles of mastication. Cervical range of motion: backward flexion 70 degrees and forward flexion 60 degrees. She was able to turn 60 degrees to each side. She is able to tilt 40 degrees to other side. Comments: Based on the absence of objective findings, she has reached a medical end result with no need for any further treatment. No additional treatment or diagnostic testing is
Possible causes of Lily’s symptoms can include Benign Paroxysmal Positional Vertigo (BPPV), which is caused by the collection of debris within the inner ear due. Although Lily is only 41, the collection of debris is caused by the aging process, and may apply to her. This could be a possibility on the count of Lily having brief episodes of loss of balance and dizziness, typically when she has a sudden change in head movement. Lily’s borderline high blood pressure could also be narrowing blood vessels, causing reduced blood flow, which is one association with BPPV. This condition also has no physical showing of itself, which would explain why the doctor is not seeing anything obviously wrong with
Contralateral weakness of the lower face, hands, arms and legs; transient dysphasia; numbness or loss of sensation; headache; temporary loss of vision of one eye; sudden inability to speak. Other symptoms may include: tinnitus, vertigo, blurred vision, diplopia, eyelid ptosis and ataxia.