Dizziness and Nerve Issues: When to Seek Medical Attention - Neurology

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Dizziness and issues related to the lumbar and cervical spine?


Recently, I experienced dizziness followed by numbness in my left limbs.
I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation.
However, the numbness in my limbs started after the dizziness.
Should I go to the hospital for further examination? My main complaint is that the numbness in my legs is affecting my daily life (I can't stand, and I feel numb while sitting or lying down).
Currently, when I lower my head and then raise it, I experience dizziness (which happens frequently), but I do not faint.
Certain sounds make me feel lightheaded, and complex visual patterns also cause dizziness.
Additionally, is an X-ray sufficient to identify any issues with my spine and cervical vertebrae?

Niming, 10~19 year old female. Ask Date: 2022/05/21

Dr. Jiang Junyi reply Neurology


Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness.
There are many factors that need clarification.
The causes of dizziness are numerous; if your dizziness is related to your menstrual cycle, the likelihood of migraines is higher.
However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance could also contribute to your symptoms.
First, it is essential to rule out anemia or fluid deficiency that may lead to insufficient cerebral circulation.
Symptoms can be improved by rehydrating and replenishing electrolytes.
In addition to MRI, blood tests can assist in evaluating dizziness and headaches.
Blood tests should include the differentiation of possible comorbidities (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent vestibular neuritis, autoimmune diseases, neurosyphilis, and central nervous system disorders).
I recommend discussing your examination and treatment options with a neurologist.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health, safety, and happiness.
Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2022/05/21

More Info


Dizziness and nerve issues can be complex and concerning symptoms that warrant careful evaluation. Based on your description, it seems that you are experiencing a combination of dizziness and numbness or tingling in your limbs, particularly after an episode of dizziness. This combination of symptoms can indicate several underlying conditions, and it is essential to seek medical attention to determine the cause and appropriate treatment.

Dizziness can arise from various sources, including vestibular disorders, neurological issues, or even cardiovascular problems. In your case, the dizziness followed by numbness in your limbs raises the possibility of a neurological issue, particularly if the numbness is affecting your daily activities. The fact that you experience dizziness when looking at complex images or hearing certain sounds suggests that your vestibular system may be involved. This system, which helps control balance and spatial orientation, can be affected by various conditions, including inner ear problems, migraines, or even central nervous system disorders.

The numbness in your limbs, especially if it is persistent and affecting your ability to stand or sit comfortably, is also concerning. Numbness can result from nerve compression, which may be related to your cervical (neck) or lumbar (lower back) spine issues, such as herniated discs, as suggested by your clinic's assessment. However, since you mentioned that the numbness began after the dizziness, it is crucial to consider that these symptoms may be interconnected and not solely due to spinal issues.

Given the complexity of your symptoms, it is advisable to seek further evaluation at a hospital or a specialized clinic. A comprehensive neurological examination is essential, and imaging studies such as MRI or CT scans may be necessary to assess the brain and spinal cord for any abnormalities. While X-rays can provide some information about the structure of your spine, they are limited in their ability to visualize soft tissues, including nerves and discs. MRI is typically the preferred imaging modality for evaluating nerve-related issues, as it provides detailed images of the brain and spinal cord.

In summary, your symptoms of dizziness and limb numbness warrant further investigation. It is crucial to consult with a healthcare professional who can perform a thorough assessment, including a neurological examination and appropriate imaging studies. Early diagnosis and intervention can be vital in managing any underlying conditions and preventing potential complications. If your symptoms worsen or if you experience additional concerning symptoms, such as weakness, severe headaches, or changes in vision, seek emergency medical attention promptly.

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