Unexplained Dizziness and Involuntary Running: A Neurological Concern? - Neurology

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It sounds like your mother experienced a concerning episode of dizziness accompanied by involuntary running, which understandably alarmed both her and you. Given her age and the symptoms described, it is essential to approach this situation with careful consideration of potential neurological issues.

Dizziness in older adults can arise from various causes, including vestibular disorders, cardiovascular issues, or neurological conditions. The involuntary running, particularly if it was not a conscious decision on her part, raises the possibility of a neurological event. This could be related to a condition known as "paroxysmal kinesigenic dyskinesia," which involves sudden involuntary movements triggered by voluntary movement or changes in posture. However, this is just one of many potential explanations.

Another possibility to consider is the presence of a transient ischemic attack (TIA) or a mini-stroke, which can present with sudden dizziness and abnormal movements. Given that your mother has knee degeneration, it’s also important to rule out any musculoskeletal issues that could contribute to her symptoms, although the involuntary nature of her running suggests a neurological origin.

In addition, conditions such as Parkinson's disease or other movement disorders could lead to similar symptoms. Parkinson's disease, for instance, can cause a range of motor symptoms, including tremors, rigidity, and bradykinesia (slowness of movement), but it can also lead to episodes of sudden, involuntary movements.

Given the complexity of her symptoms, I recommend that you take her to see a neurologist as soon as possible. A neurologist specializes in disorders of the nervous system and can conduct a thorough evaluation, which may include a neurological examination, imaging studies (like an MRI or CT scan), and possibly an electroencephalogram (EEG) to assess brain activity. These tests can help identify any underlying neurological conditions that may be causing her symptoms.

In the meantime, ensure that she is safe and monitor her for any further episodes. Keeping a detailed record of her symptoms, including when they occur, their duration, and any associated factors (like changes in posture or activity), can be very helpful for the healthcare provider.

Lastly, it’s important to address her fears and anxieties regarding this incident. Sudden and unexplained symptoms can be frightening, especially for older adults. Providing emotional support and reassurance can help her cope as she seeks medical attention.

In summary, your mother’s symptoms warrant a prompt evaluation by a neurologist to rule out any serious underlying conditions and to determine the appropriate course of action. Early intervention can be crucial in managing neurological issues effectively.