Dizziness, Blurred Vision, and Leg Pain: Neurological Concerns Explained - Neurology

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Dizziness, blurred vision, and calf pain?


Hello Dr.
Jiang, I have recently been experiencing symptoms as described in the subject.
I am hesitant to go to the hospital for an examination because I fear that nothing will be wrong, so I am here to inquire.
Note: I have previously had a concussion.

Rong, 10~19 year old female. Ask Date: 2016/04/07

Dr. Jiang Junyi reply Neurology


Based on your description: You mentioned symptoms of dizziness and leg cramps, which are likely indicative of two potential issues.
If the dizziness occurs primarily when standing, it may be due to reduced cerebral blood flow when standing, as the heart may not be able to immediately increase its contractions, leading to lightheadedness or fainting.
This is less likely to occur when lying down.
Prior to fainting, you may experience symptoms such as nausea, yawning, dizziness, a feeling of warmth, sweating, and cold extremities.
Additionally, anemia or improper neck usage could also contribute to dizziness.
I recommend discussing your symptoms with a neurologist for further evaluation and treatment.
Wishing you good health and peace.

Reply Date: 2016/04/07

More Info


Dizziness, blurred vision, and leg pain can be concerning symptoms that may indicate underlying neurological issues. Given your history of a concussion, it is essential to approach these symptoms with caution and seek a thorough evaluation from a healthcare professional, preferably a neurologist.

Dizziness can manifest in various forms, including lightheadedness, a spinning sensation (vertigo), or a feeling of unsteadiness. It can be caused by several factors, including vestibular disorders, dehydration, low blood pressure, or neurological conditions. In your case, considering your previous concussion, it is possible that you may be experiencing post-concussion syndrome, which can include dizziness as a lingering symptom.

Blurred vision is another symptom that can arise from various causes, including eye strain, migraines, or neurological disorders. In some cases, blurred vision can be associated with increased intracranial pressure or other serious conditions affecting the brain. Given your history of a concussion, it is crucial to rule out any complications that may have arisen from that injury.

Leg pain, particularly if it is accompanied by other neurological symptoms, could indicate nerve involvement or issues related to circulation. Conditions such as sciatica, peripheral neuropathy, or even vascular problems could lead to pain in the legs. If the pain is unilateral (affecting one leg more than the other), it may warrant further investigation to rule out conditions such as deep vein thrombosis (DVT) or other vascular issues.

Given the combination of dizziness, blurred vision, and leg pain, it is essential to consider the possibility of a neurological disorder. Some conditions that could present with these symptoms include:
1. Multiple Sclerosis (MS): This autoimmune disease can affect the central nervous system and lead to a variety of symptoms, including dizziness, visual disturbances, and leg pain.

2. Migraine-Associated Vertigo: Migraines can cause not only headaches but also dizziness and visual disturbances. Some individuals experience vertigo as a symptom of their migraines.

3. Vestibular Disorders: Conditions affecting the inner ear can lead to dizziness and balance issues, which may also be accompanied by visual disturbances.

4. Cervical Spine Issues: Problems in the cervical spine, such as herniated discs or degenerative changes, can lead to nerve compression, resulting in dizziness and leg pain.

5. Post-Concussion Syndrome: As mentioned earlier, lingering symptoms following a concussion can include dizziness, visual disturbances, and other neurological symptoms.

It is crucial to seek medical attention to evaluate these symptoms comprehensively. A neurologist may recommend imaging studies, such as an MRI or CT scan, to assess for any structural abnormalities in the brain or cervical spine. Additionally, they may conduct a thorough neurological examination to assess your balance, coordination, and reflexes.

In the meantime, it is advisable to monitor your symptoms closely. Keep a journal of when the symptoms occur, their duration, and any associated factors (such as stress, fatigue, or specific activities). This information can be valuable for your healthcare provider in determining the underlying cause of your symptoms.

In summary, dizziness, blurred vision, and leg pain can be indicative of various neurological concerns, especially in the context of a previous concussion. It is essential to consult a healthcare professional for a thorough evaluation and appropriate management. Early intervention can lead to better outcomes and help address any underlying issues effectively.

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