Elevator Sensation: Neurological Insights and Solutions

There is a sensation similar to the feeling of inertia after riding an elevator?

Hello Doctor, I would like to ask a question.
Since early March of this year, I have been experiencing a sensation similar to the aftereffects of riding an elevator, where it feels like my body is moving up and down.
However, I do not feel very dizzy; I occasionally experience a feeling of pressure in my head, and while I want to study, it seems like my brain cannot retain much information.
This situation occurs almost daily, and it is most pronounced when I am standing, although I also feel it when sitting.
Previously, I had seen a psychiatrist due to stress-related breathing issues.
Could this condition also be due to autonomic nervous system dysfunction? Or should I consult another specialty for further evaluation? If so, which specialty should I see? Thank you for your response, Doctor.

Ww, 20~29 year old female. Ask Date: 2021/06/14

Dr. Jiang Junyi reply Neurology

Dear Ms.
Ww,
In addition to hyperventilation, your symptoms may warrant consideration of other diseases and causes that can lead to dizziness.
If your headaches are related to your menstrual cycle, the likelihood of vascular headaches causing dizziness is higher.
However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms.

First, it is essential to rule out anemia or fluid deficiency that could lead to inadequate cerebral circulation.
Symptoms may improve with hydration and electrolyte replenishment.
In addition to magnetic resonance imaging (MRI), blood tests can assist in evaluating dizziness and headaches.
Blood tests should include screening for potential complications such as anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent vestibular neuritis, autoimmune diseases, neurosyphilis, and central nervous system disorders.
I recommend that you visit a neurology outpatient clinic for further evaluation.
However, due to the recent surge in COVID-19 cases, it is advisable to wait until the situation stabilizes before going to the hospital for examination.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new preventive measures before and after your medical visit.
Thank you for your inquiry.
If you have any related questions, feel free to discuss further!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2021/06/14

More Info

Understanding the sensation you are experiencing, often referred to as "elevator sensation," involves delving into the complexities of the human nervous system and how it processes sensory information. This sensation can be quite disconcerting, especially when it feels like your body is moving up and down, akin to the feeling one gets after stepping out of an elevator. However, it is essential to understand that this sensation does not always correlate with dizziness or vertigo, which are more severe forms of balance disturbances.

The phenomenon you describe may be linked to a condition known as "mal de debarquement syndrome" (MdDS), which is characterized by a persistent sensation of motion following exposure to passive motion, such as being on a boat or, in your case, an elevator. This condition can lead to feelings of imbalance or swaying, even when you are stationary. It is also possible that your symptoms are related to vestibular dysfunction, where the inner ear, which plays a crucial role in maintaining balance, is not functioning optimally.

Your mention of experiencing a "full" sensation in your head and difficulty concentrating could suggest a few underlying issues. Stress and anxiety can significantly impact cognitive function and perception, leading to feelings of mental fog or pressure in the head. Given your history of stress-related symptoms, it is plausible that your current sensations may be exacerbated by anxiety or stress, potentially indicating a form of autonomic nervous system dysregulation.

The autonomic nervous system (ANS) controls involuntary bodily functions, including heart rate, digestion, and respiratory rate. Dysregulation of the ANS can lead to various symptoms, including those you are experiencing. Stress can trigger the sympathetic nervous system (the fight-or-flight response), leading to heightened awareness of bodily sensations and discomfort.

To address your concerns, it would be advisable to consult with a healthcare professional who specializes in neurology or otolaryngology (ear, nose, and throat specialists). These specialists can conduct a thorough evaluation, which may include a physical examination, balance tests, and possibly imaging studies to rule out any underlying neurological conditions. If your symptoms are indeed linked to anxiety or stress, a mental health professional, such as a psychologist or psychiatrist, may also be beneficial in providing coping strategies and therapeutic interventions.

In summary, while your symptoms may be related to autonomic nervous system dysregulation or vestibular dysfunction, a comprehensive evaluation by the appropriate specialists is crucial for an accurate diagnosis and effective treatment plan. It is essential to address both the physical and psychological aspects of your symptoms to achieve a holistic approach to your health. Remember, you are not alone in this experience, and seeking help is a positive step toward understanding and managing your sensations effectively.

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