Dizziness and right eye (globe) twitching?
I started experiencing dizziness at the beginning of last year, which is not vertigo.
I consulted an ENT specialist who diagnosed me with vestibular neuritis.
I took medication for three months, but there was not much improvement.
Recently, my right eyeball has been twitching intermittently.
Could this indicate a brain issue? Is it a sign of a stroke? I would appreciate your guidance, thank you!
MAi Xu, 50~59 year old female. Ask Date: 2022/01/07
Dr. Jiang Junyi reply Neurology
Dear Miss May,
You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke.
Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure.
I would like to know if you have experienced double vision, hearing loss, or weakness in your limbs.
If you have metabolic syndrome, a family history of cardiovascular disease, or smoke, you fall into a high-risk group for stroke.
In the event of sudden neurological deficits such as limb weakness or slurred speech, cerebrovascular disease should be considered first.
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: 2022/01/07
More Info
Dizziness and eye twitching can be concerning symptoms, especially when they occur together. Your experience of dizziness, which has been ongoing since last year and was attributed to vestibular neuritis by an ENT specialist, suggests that there may be an underlying issue related to the inner ear or the vestibular system. Vestibular neuritis typically results from inflammation of the vestibular nerve, which can cause dizziness and balance issues, but it usually does not cause eye twitching.
Eye twitching, or myokymia, is often benign and can be triggered by various factors such as stress, fatigue, caffeine intake, or eye strain. However, when it occurs alongside other neurological symptoms like dizziness, it can raise concerns about potential neurological issues. While it is understandable to worry about serious conditions such as a stroke, it is essential to consider the context of your symptoms.
A stroke typically presents with sudden onset symptoms, including weakness on one side of the body, difficulty speaking, confusion, and severe headache. Dizziness can be a symptom of a stroke, but it is usually accompanied by other more pronounced neurological deficits. If your dizziness has been persistent and is not accompanied by these acute symptoms, it is less likely to be a stroke.
However, the combination of persistent dizziness and new-onset eye twitching warrants further evaluation. It is advisable to consult a neurologist who can perform a comprehensive assessment, including a detailed history, neurological examination, and possibly imaging studies such as an MRI or CT scan to rule out any structural abnormalities in the brain.
In addition to neurological concerns, other conditions could contribute to your symptoms. For instance, anxiety and stress can exacerbate both dizziness and eye twitching. If you have been experiencing increased stress or anxiety, addressing these factors may help alleviate your symptoms. Lifestyle modifications, such as ensuring adequate rest, reducing caffeine intake, and managing stress through relaxation techniques, can also be beneficial.
If you have not already done so, it may be helpful to keep a symptom diary, noting when your dizziness and eye twitching occur, their duration, and any potential triggers. This information can provide valuable insights for your healthcare provider during your evaluation.
In summary, while your symptoms may not immediately suggest a severe neurological condition, it is crucial to seek further evaluation from a neurologist to rule out any underlying issues. Early intervention can lead to better management of your symptoms and improve your overall quality of life. Remember, it is always better to err on the side of caution when it comes to neurological symptoms.
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