Dizziness and Memory Loss: A Neurology Perspective

Drowsy?

Hello Dr.
Huang, in February, I was thinking about something when I suddenly felt dizzy.
This dizziness was not like the usual lightheadedness; it felt more like a disconnection.
After that, I sensed that something was off—I felt as though I had lost all my sensations towards things, and the experiences I used to have were no longer there.
I also felt like I had forgotten everything that had just happened, as if nothing had occurred at all, even though I had the impression that I had done something, but in reality, I hadn't.
Additionally, after that day, every time I go to sleep, I feel like I haven't really slept at all; it seems like only my body is sleeping.
So, when I wake up, even though I know I have slept, I still feel as if I haven't rested at all.
I just turned eighteen this year, and I have never had any mental health issues before.
I don't know what this is, and I hope Dr.
Huang can help me.
Thank you.

Xian Zong, 10~19 year old female. Ask Date: 2000/12/21

Dr. Huang Yingzhe reply Neurology

Based on the symptoms you described, to be honest, I cannot determine the cause of your issue! I recommend that you consult a psychiatrist for an interview first, and then we can discuss further.

Reply Date: 2000/12/21

More Info

Dizziness and memory loss can be concerning symptoms, especially when they occur together. Based on your description, it seems you are experiencing a unique combination of sensations that may not only be related to neurological issues but could also involve psychological factors. Let's break down your symptoms and explore potential underlying causes.

Firstly, the dizziness you described as feeling "like opening up" could be indicative of a few different conditions. In neurology, dizziness can be categorized into two main types: vertigo, which is a false sensation of movement, and non-vertiginous dizziness, which can feel more like lightheadedness or a sense of imbalance. Given your description, it might be worth considering whether this dizziness is related to a vestibular issue (inner ear problems) or perhaps a transient neurological event.

The sensation of losing all feelings and the inability to recall recent events can be alarming. This could be related to a phenomenon known as "derealization" or "depersonalization," where individuals feel detached from their surroundings or themselves. These experiences can sometimes be triggered by anxiety, stress, or even fatigue. Given that you mentioned feeling like you haven't slept well, it's possible that sleep deprivation could be exacerbating these feelings.

Memory loss, particularly the kind where you feel like you have done something when you haven't, can also be linked to various factors. One possibility is that you are experiencing a form of "confabulation," which is when the brain fills in gaps in memory with fabricated or distorted information. This can happen in certain neurological conditions but can also occur in healthy individuals under stress or fatigue.

At your age, it's less common to see severe neurological disorders, but it’s not impossible. Conditions such as migraines can cause both dizziness and memory issues, particularly if they are accompanied by aura symptoms. Additionally, anxiety disorders can manifest physically and cognitively, leading to sensations of dizziness and memory lapses.

Given your symptoms, it would be prudent to seek a thorough evaluation from a neurologist. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues in the brain. Blood tests may also be necessary to check for metabolic or hormonal imbalances that could contribute to your symptoms.

In the meantime, consider keeping a symptom diary. Note when the dizziness occurs, any associated feelings, and how you slept the night before. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.

Lastly, lifestyle modifications can also help. Ensure you are getting adequate sleep, managing stress through relaxation techniques, and staying hydrated. Regular physical activity can improve overall well-being and may help alleviate some of the dizziness and cognitive fog you are experiencing.

In summary, while your symptoms are concerning, they can stem from various causes ranging from benign to more serious conditions. A comprehensive evaluation by a healthcare professional is essential to determine the exact nature of your symptoms and to develop an appropriate treatment plan.

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