giddiness and lightheadedness & Mild Truncal Ataxia & Repetitive Eye Blinking Accompanying Visual Hallucinations: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

giddiness and lightheadedness, Mild Truncal Ataxia, Repetitive Eye Blinking Accompanying Visual Hallucinations,

Negated

None

Unsure

None

Possible Causes

Usher Syndrome Type 3B

Definition A syndrome characterized by progressive vision and hearing loss during early childhood. Some patients have the so-called 'Charles Bonnet syndrome,' involving decreased visual acuity and vivid visual hallucinations. USH is a genetically heterogeneous condition characterized by the association of retinitis[…] [uniprot.org]

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Episodic Ataxia

Acetazolamide markedly decreased the episodes of dizziness and ataxia, but follow up examination still showed downbeat positional nystagmus and mild truncal ataxia. [jnnp.bmj.com]

Preliminary findings demonstrate that migrainous vertigo is genetically heterogeneous and complex. [ncbi.nlm.nih.gov]

On examination, patient has mild truncal ataxia, scanning speech, bilateral dysmetria and falling tendency to either side on tandem gait. [japi.org]

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Cerebellar Stroke

Ask the patient to sit up with arms crossed - looking for truncal ataxia. Ask the patient to walk heel-to-toe (to elicit any gait ataxia). [patient.info]

In four of the patients, severe vertigo, nausea, and vomiting persisted after the nystagmus had been resolved. [ncbi.nlm.nih.gov]

Remaining 8 patients were also symptomatic for vertigo, but they had spontaneous nystagmus. The latter group was called "disease control." [ncbi.nlm.nih.gov]

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Internal Auditory Artery Occlusion

Follow-up evaluation 4 months later, the patient showed a mild truncal ataxia (mRS 2). DISCUSSION The anatomy of the AICA is highly variable. [surgicalneurologyint.com]

Part IV is a new section on the symptomatic treatment of vertigo. [books.google.com]

However, it can also refer to such feelings as lightheadedness, unsteadiness, confusion, giddiness, or nausea. [michiganear.com]

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Cerebellar Infarction

Ask the patient to sit up with arms crossed - looking for truncal ataxia. Ask the patient to walk heel-to-toe (to elicit any gait ataxia). [patient.info]

The patient's vertigo and hearing remarkably improved. [ncbi.nlm.nih.gov]

Isolated vertigo or lateropulsion without any other symptoms was present in 38% of patients. [ncbi.nlm.nih.gov]

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Brain Stem Infarction

Neurological examinations showed left ptosis and miosis, hoarseness, dysphagia, right mild hemiparesis, left ataxia of his extremities, and truncal ataxia. [hindawi.com]

A patient presenting with acute onset vertigo and then developing sudden respiratory failure is likely to have a medullary infarct. [symptoma.com]

We report 13 patients presenting with predominantly sensory strokes due to brainstem infarction, without any other brainstem symptoms such as hemiparesis, dysarthria or vertigo [ncbi.nlm.nih.gov]

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Ménière Disease

There are 4 typical symptoms associated with Meniere’s disease: spontaneous, recurrent episodes of vertigo (coming and going attacks of dizziness or giddiness); hearing loss [mydr.com.au]

After or perhaps before the attack the person may experience a period of imbalance and movement induced giddiness. [menieres.org.uk]

Vertigo treatments Vertigo symptoms can be treated with anti-nausea medicines and antihistamines. [mydr.com.au]

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Vasovagal Syncope

ataxia that may impede the person from standing without support. [circ.ahajournals.org]

It is very important to differentiate vertigo, seizures, light-headedness, seizures, vertigo and hypoglycaemia as other causes. [symptoma.com]

It is pertinent to differentiate lightheadedness, seizures, vertigo, and low blood sugar as other causes. [en.wikipedia.org]

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Traumatic Brain Injury

[…] intentional tremor on both hands, and mild truncal ataxia. [ncbi.nlm.nih.gov]

[…] of moderate and severe brain injuries are accompanied by vertigo and/or dizziness. [theraspecs.com]

Symptoms of a central source may include nausea with nonpositional vertigo and imbalance. [doi.org]

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Cardiogenic Syncope

ataxia that may impede the person from standing without support. [ahajournals.org]

Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. [books.google.com]

[…] pyramidal features (also called olivopontocerebellar atrophy/degenerative form on the basis of autopsy findings). 26 These patients have a significant gait disturbance and truncal [circ.ahajournals.org]

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Benign Paroxysmal Positional Vertigo

In the UK, the DVLA must be notified if someone is liable to 'sudden and unprovoked or unprecipitated episodes of disabling giddiness' and driving is only permitted when satisfactory [patient.info]

RESULTS: The percentage of patients with dizziness or vertigo who met criteria for migraine was 33.7 per cent, with a prevalence of benign paroxysmal positional vertigo of [ncbi.nlm.nih.gov]

Close eyes to minimise vertigo. [patient.info]

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Vestibular Neuronitis

Dizziness, Giddiness and Feeling Faint Dizziness is a common complaint and has a very broad list of possible underlying causes. [evidence.nhs.uk]

Vertigo ear affecting the labyrinth or vestibular nerve (for example benign paroxysmal positional vertigo, vestibular neuronitis ,... [evidence.nhs.uk]

These conditions typically cause vertigo, often with sickness... Vertigo - NHS Vertigo is a symptom, rather than a condition in itself. [evidence.nhs.uk]

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Labyrinthitis

I was prescribed prochloreperazine for the giddiness, and found eating or drinking anything with ginger helped, (e.g. adding thin slices of fresh root to the pot when making [mumsnet.com]

Vertigo lasts from 5 minutes to 72 hours. [patient.info]

Treatment can help reduce vertigo and other symptoms. [nlm.nih.gov]

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Spinocerebellar Ataxia Type 6

Acetazolamide markedly decreased the episodes of dizziness and ataxia, but follow up examination still showed downbeat positional nystagmus and mild truncal ataxia. [jnnp.bmj.com]

Symptoms of vertigo were defined using a structured questionnaire. [ncbi.nlm.nih.gov]

There was a close relationship between downbeat positioning nystagmus (DPN) and positioning vertigo, which became more common in the later stage. [ncbi.nlm.nih.gov]

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Vertebrobasilar Insufficiency

She had found herself getting very tired and giddy after breakfast, and worked out that cheese made her worse. [holistic-doc-pain-support.com]

Clinical VBI tests were performed, whereby the patient's vertigo and visual disturbances were reproduced with cervical spine extension. [ncbi.nlm.nih.gov]

We evaluated RCTs that compared BBTD, anti-vertigo drugs and a combination of BBTD and anti-vertigo drugs. [ncbi.nlm.nih.gov]

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Basilar Migraine

CONCLUSION: The relationship between BtM, dMV, and pMV refers to a distribution of severity across the disease spectrum of migraine-related vertigo. [ncbi.nlm.nih.gov]

[…] by vertigo spells and hearing loss that presents comorbidity with migraine) or benign paroxysmal positional vertigo (in which patients experience brief episodes of vertigo [books.google.com]

[…] p.Tyr1245Cys was detected in a patient displaying a changing, age-specific phenotype that began as benign paroxysmal torticollis of infancy, evolving into benign paroxysmal vertigo [ncbi.nlm.nih.gov]

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Lermoyez Syndrome

In a study, which examined 12 patients with LS, some had hearing alterations without vertigo, while others had vertigo without alterations in hearing, indicating a similarity [symptoma.com]

vertigo Peripheral vertigo NOS Subcategories: H81.391 Other peripheral vertigo, right ear H81.392 Other peripheral vertigo, left ear H81.393 Other peripheral vertigo, bilateral [averbis.com]

R42 ICD-10-CM Diagnosis Code R42 Dizziness and giddiness 2016 2017 2018 2019 Billable/Specific Code Applicable To Light-headedness Vertigo NOS Type 1 Excludes vertiginous [icd10data.com]

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Superior Semicircular Canal Dehiscence

Complaint of vertigo, which is triggered by straining, heavy lifting, or loud sound is usually common in low frequency sound. [ejao.org]

Key points • The Tullio phenomenon is sound-induced vertigo, nystagmus, or both. • Hennebert sign is pressure-induced vertigo, nystagmus, or both, elicited by insufflation [medlink.com]

Postoperatively the sensations of vertigo were reduced. [em-consulte.com]

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Herpes Zoster Oticus

Diazepam rarely used for vertigo [slideshare.net]

Most patients with vertigo also had hearing loss (28 of 30), and patients without hearing loss did not have vertigo (19 of 21). [ncbi.nlm.nih.gov]

LMN (Lower Motor Neuron) type of Facial Palsy (and its features) Vomiting, Giddiness 2. Loss of taste in anterior 2/3rd of tongue. [slideshare.net]

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Orthostatic Syncope

ataxia that may impede the person from standing without support. [ahajournals.org]

CM-I, including suboccipital headache, weakness in the upper extremities, facial numbness, loss of temperature sensation, ataxia, diplopia, dysarthria, dysphagia, vomiting, vertigo [kjp.or.kr]

See also separate Dizziness, Giddiness and Feeling Faint article. [patient.info]

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Sudden Hearing Loss

The patient's vertigo and hearing remarkably improved. [ncbi.nlm.nih.gov]

We defined SHL with vertigo as a vertigo-related diagnosis 30 days from the index SHL event. [ncbi.nlm.nih.gov]

Chronic myeloid leukemia (CML) is one of the etiologic causes of sudden hearing loss and vertigo. [ncbi.nlm.nih.gov]

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Acoustic Neuritis

My condition changed frequently until the end of July, when it became a permanent state and I had attacks of giddiness, which made me stagger to and fro, so that I could only [balanceanddizziness.org]

Previous Vertigo Types Next Vertigo Treatment [articles.mercola.com]

Central Causes of Vertigo Feature Peripheral vertigo Central vertigo Nystagmus Combined horizontal and torsional; inhibited by fixation of eyes onto object; fades after a [aafp.org]

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Paraneoplastic Syndrome

The prominent opsoclonus and truncal, rather than appendicular, ataxia distinguish this syndrome from anti‐Yo– and anti‐Hu–associated PCD [28]. [theoncologist.onlinelibrary.wiley.com]

BACKGROUND: 69 year old gentleman who presented with persistent and intractable vertigo for over a year. [neurology.org]

We present a patient with a five-year history of visual loss, vertigo, ataxia, tinnitus, and bone lesions that resolved after diagnosis and resection of an atrial myxoma. [ncbi.nlm.nih.gov]

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Barré-Liéou Syndrome

Together with a concomitant onset of dizziness, vertigo, visual disturbances and headaches, a presumptive diagnosis might be made. [symptoma.com]

Diseases Disease Headache Humans Neurologic Manifestations Posterior Cervical Sympathetic Syndrome Spinal Diseases Spine Sympathetic Nervous System Tinnitus Vertebral Artery Vertigo [unboundmedicine.com]

She gets vertigo and stumbles and falls quite often. [medhelp.org]

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Anemia

[…] of color of the skin Increased heart rate (tachycardia) Breathlessness, or difficulty catching a breath (dyspnea) Lack of energy, or tiring easily (fatigue) Dizziness, or vertigo [chop.edu]

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Motion Sickness

Some people describe a balance problem by saying they feel dizzy, lightheaded, unsteady, or giddy. [morelandent.com]

In both cases, the sequelae may be vertigo, incoordination, imbalance, and unpleasant autonomic responses. [ncbi.nlm.nih.gov]

KEYWORDS: eye movements; migraine; motion sickness; vertigo; vestibular [ncbi.nlm.nih.gov]

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Hyperventilation

[…] or giddiness, profuse perspiration, and tingling sensations in the fingertips, face, or toes. [medical-dictionary.thefreedictionary.com]

Headache, giddiness, disturbed sleep, and dizziness were "all indicative of disturbed circulation in the cerebro-spinal centres." [medlink.com]

Some hyperventilation and panic attack symptoms are: Light headiness Giddiness Dizziness Shortness of breath Heart palpitations Numbness Chest pains Dry mouth Clammy hands [panic-attacks.co.uk]

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Viral Labyrinthitis

Principal symptoms include vertigo, dizziness and hearing loss, as both parts of the vestibulocochlear nerve are affected. [symptoma.com]

Zinziber officinalis, Hedychium spicatium, Cayophyllus aromatocus, Piper longum, and Terminalia arjuna are some of the herbs used to treat giddiness and nausea. [home-remedies-for-you.com]

Overview Disease Characteristics Symptoms Diagnostic Test Treatment Benign positional vertigo Changes with position Diagnosis: Dix-Hallpike maneuver Vertigo without hearing [step2.medbullets.com]

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Oculomotor Apraxia

Subsequently, he suffered from arms dysmetria, truncal ataxia and cerebellar dysarthric speech. He was wheelchair bound by the age of 23-years. [cags.org.ae]

Vertigo is more severe with the initial episodes than later attacks, tending to improve with time. [vasculitisfoundation.org]

Background and Natural History The primary features of AT include progressive gait and truncal cerebellar ataxia with onset between one and four years of age; progressively [raredisorders.imedpub.com]

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Central Positional Vertigo

Vertigo usually causes rotatory or spinning symptoms. See also separate Dizziness, Giddiness and Feeling Faint article. [patient.info]

Bucheon Hospital, Bucheon, Korea ABSTRACT Positional and positioning vertigo and nystagmus syndromes are usually caused by benign paroxysmal positional vertigo (BPPV). [e-rvs.org]

This change is the precipitating factor for central positional vertigo. [link.springer.com]

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