Experiencing Earthquake-like Head Movements: Which Specialist to Consult?

If you are experiencing shaking sensations similar to an earthquake, whether sitting or lying down, you should consult a neurologist?

Hello! For the past month, I have been experiencing a sensation of my head shaking, similar to an earthquake, and it has been getting worse.
However, I do not feel any discomfort in my body, nor do I experience any numbness.
I eat well and sleep well every day, and I go for a light jog for half an hour every Saturday.
I only experience slight headaches when there is a significant temperature change (for example, when I suddenly move from outdoors to an air-conditioned indoor environment).
I am a drafting engineer and spend long hours sitting in front of a computer (but I do make sure to get up, walk around, and drink water).
Which specialist should I see? Should I undergo further diagnosis or any specific tests? Thank you for your assistance!

Kunrao Yige Yue De Ren, 20~29 year old female. Ask Date: 2013/07/25

Dr. Gao Chunde reply Neurology

It is more common to feel that objects are spinning, but some may also experience a sensation of the head swaying.
If these episodes are brief, lasting from a few seconds to a couple of minutes and resolve on their own, the issue likely lies within the vestibular nerve function of the inner ear.
However, if the sensations are continuous, one should be cautious of potential problems in the brainstem or higher brain structures.
Based on your symptoms, I would still recommend seeing a neurologist, as your situation does not align with our typical experiences.
Most vestibular function issues in the inner ear are transient, resolving within days to weeks without worsening.
As for what tests the doctor may arrange, that will depend on their assessment after examining your condition.

Reply Date: 2013/07/25

More Info

Experiencing sensations of head movement akin to an earthquake can be quite disconcerting, especially when it occurs frequently and intensifies over time. Given your description, it is essential to approach this issue methodically to determine the underlying cause and appropriate treatment.

First and foremost, it is advisable to consult a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They can conduct a thorough evaluation of your symptoms, medical history, and any potential neurological issues that may be contributing to your sensations of head movement.
During your consultation, the neurologist may perform a series of tests, including a neurological examination to assess your reflexes, muscle strength, coordination, and sensory perception. They may also recommend imaging studies, such as an MRI or CT scan, to rule out any structural abnormalities in the brain that could be causing your symptoms.

In addition to neurological evaluation, it may also be beneficial to consult an ear, nose, and throat (ENT) specialist, particularly if your symptoms are accompanied by any dizziness or balance issues. The inner ear plays a crucial role in maintaining balance, and conditions such as vestibular disorders can lead to sensations of movement or dizziness. An ENT specialist can perform tests to evaluate your vestibular function and determine if there is an underlying issue that needs to be addressed.

Given your profession as a graphic engineer, it is also worth considering the impact of prolonged screen time on your symptoms. Extended periods of focusing on a computer screen can lead to visual strain, which may contribute to headaches and sensations of disorientation. Ensuring that you take regular breaks, practice good ergonomics, and maintain proper eye care can help alleviate some of these symptoms.

In terms of further diagnostics, your healthcare provider may suggest tests such as an electroencephalogram (EEG) to assess brain activity, particularly if there is a concern about seizures or other neurological conditions. Blood tests may also be conducted to check for metabolic or systemic issues that could be contributing to your symptoms.

As for treatment, it will largely depend on the underlying cause identified during your evaluations. If the sensations are linked to a vestibular disorder, vestibular rehabilitation therapy may be recommended. This type of therapy involves exercises designed to improve balance and reduce dizziness. If your symptoms are related to tension or stress, cognitive behavioral therapy or relaxation techniques may be beneficial.

In summary, the best course of action is to consult a neurologist and possibly an ENT specialist to thoroughly investigate your symptoms. They will guide you through the necessary evaluations and help formulate a treatment plan tailored to your needs. Additionally, consider lifestyle modifications to reduce screen time and incorporate regular breaks to mitigate any potential strain from your work environment. Remember, early intervention is key to managing any health concerns effectively, so seeking professional advice promptly is crucial.

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