Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
Content updated on Jan 23, 2024
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✔︎ When to see a doctor
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✔︎ Treatment information etc.
Unsteadiness/dizziness
I had dizziness when I woke up in the morning and turned over for the first time
Improvement in dizziness also leads to improvement in auditory symptoms
When I am dizzy, it is hard to hear the surrounding sounds
Heard a "pop" in the ear, before the symptoms started
Dizziness when standing for long periods of time
When I close my eyes the dizziness gets worse
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About the Symptom
Dizziness is a non-specific term that describes a range of sensations, such as feeling faint, wobbly, unsteady, woozy, or like the ground or surroundings are moving when in reality they are not.
When to see a doctor
Seek professional care if you experience any of the following symptoms
Fainting with loss of consciousness
Sickly/pale appearance
Peripheral cyanosis
double vision
Neck pain / stiffness
Unexplained weight loss of 5% or more in 1 month
Seizure attack
Recent weight loss
Abnormal sensation (tingling, prickling)
Fever
Numbness of lower limbs
Photophobia
Difficulty urinating
Possible Causes
Generally, Dizziness can be related to:
Vestibular neuritis is inflammation of the vestibular nerve, which connects the inner ear to the brain and maintains balance sensation. Typical symptoms of vestibular neuritis include sudden dizziness, balance/walking problems, nausea, and vomiting. The disorder is usually caused by a viral infection of the inner ear, or appear following a viral infection outside the ear (e.g., common cold or influenza). Most epiodes resolve by a few weeks, although vague balance problems may persist for a few months.
Benign paroxysmal positional vertigo occurs when calcium crystals become trapped in the semicircular canals, a part of the inner ear that controls balance. Usually, only one ear is affected. It is characterized by sudden vertigo (a feeling of instability and the room spinning) due to abrupt changes in head position.
Orthostatic dysregulation (OD) is a general term that describes abnormal blood pressure changes triggered by sitting up or standing, most commonly resulting in low (orthostatic hypotension) or, less commonly, high blood pressure (orthostatic hypertension). OD is most common in the elderly, and can be due to certain medications (e.g. anti-depressants and anti-hypertensives), certain diseases affecting the nervous system (e.g. diabetes, Parkinson disease, multiple sclerosis), and can be seen in certain sleep disorders.
Related serious diseases
Sometimes, Dizziness may be related to these serious diseases:
A transient ischemic attack (TIA) is often called a “mini stroke”. The symptoms of a TIA are similar to a stroke, but they don't last as long (from minutes up to 24 hours). TIA occurs when part of the brain's blood supply is temporarily cut off by a blood clot or fatty deposits in the blood vessel. There is no death of brain cells or permanent brain damage. TIA is a sign that there is a high risk for strokes in the future.
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
Are you currently dizzy?
Have you ever experienced dizziness with ringing in the ears or deafness?
Do you get dizzy when standing or after standing for a long time?
Do you get dizzy when you tilt your head back?
Did you feel dizzy when you turned in bed?
Just 3 minutes.
Developed by doctors.
Find Similar Symptoms
References
Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol. 2016;137:67-82. doi: 10.1016/B978-0-444-63437-5.00005-4. PMID: 27638063.
https://www.sciencedirect.com/science/article/abs/pii/B9780444634375000054?via%3Dihub
Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010 Aug 15;82(4):361-8, 369. PMID: 20704166.
https://www.aafp.org/pubs/afp/issues/2010/0815/p361.html
Pfieffer ML, Anthamatten A, Glassford M. Assessment and treatment of dizziness and vertigo. Nurse Pract. 2019 Oct;44(10):29-36. doi: 10.1097/01.NPR.0000579744.73514.4b. PMID: 31568028.
https://journals.lww.com/tnpj/Abstract/2019/10000/Assessment_and_treatment_of_dizziness_and_vertigo.7.aspx
Zwergal A, Feil K, Schniepp R, Strupp M. Cerebellar Dizziness and Vertigo: Etiologies, Diagnostic Assessment, and Treatment. Semin Neurol. 2020 Feb;40(1):87-96. doi: 10.1055/s-0039-3400315. Epub 2019 Dec 30. PMID: 31887755.
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0039-3400315
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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