What Causes An Episode Of Dizziness And Unconsciousness?

Posted on Thu, 25 Jun 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 25 Jun 2015 Answered on

Wed, 15 Jul 2015 Last reviewed on

Question : hi
First episode of seizure -12th march 2015
dizziness , fall and unconsciousness about 5 10 mnts
bp-150/56, hr.min-126/mm, resp rate 16 min, spo2 98% ra, gcs -15/15 report on 12th march 2015,
got MRI - report -normal, got x-ray cervical ap and lateral - Investigation : X-Ray Cervical Spine AP & Lateral
Results :
Straightening of cervical lordosis is seen.
Degenerative changes seen in the form of marginal osteophytes
involving C4-05 vertebra.
Vertebral bodies and appendages are normal .No focal lytic or sclerotic lesion
Seen
Bone density is normal
The inter-vertebral disc spaces appear normal.
No obvious prevertebral or paravertebral soft tissue abnormality is visualized.
Advise: Clinical correlation.
from 3 XXXXXXX 2015 i started vertin 8 for dizziness 0-----0-----0
after 7 day vertin 16, 0------------0
after 7 days vertin 16 + Stemetil MD 5mg , 0-----------------0
after 7 days stopped vertin + stemetil md in evening 0------------------
now i am taking vertin16 + stemetil MD + nurokind pluse capsule in morning 0------------------------
there is no dizziness or "chakkar" in the hole day but in the night after 10 o'clock on bed feel "chakkar"
almost daily from yesterday i change my position with small pillow got relief and first time sleeped whole night very comfortably
now i want to stopped mornimg dose aslo -- vertin 16 + Stemetil md 5mg
Please advice what to do
I am 56year old male staying in XXXXXXX XXXXXXX XXXXXXX

Answered by Dr. Saumya Mittal (5 hours later)

Brief Answer:
Needs MRI and eeg

Detailed Answer:
Hi
I am Dr Mittal.
I have read your message.
I think I can help you.
The symptoms of the query are quite suggestive of a possible BPPV. It's called benign positional vertigo. here vertigo happens on sudden change of position or posture. I would suggest to continue vertin 16 mg thrice a day. with that I suggest Brant Daroff exercise.

I hope that you have been examined by a neurologist. An MRI BRAIN should ideally be done as well.

As for seizures, you are not on any medicine for that. I suggest EEG for the same.
If needed, medicines can be started as well.

I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar