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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Sudden Swaying And Fall With Sluggishness?

I was on my phone and then I got up, but I felt light-headed and had static like vision and i think i started swaying. That was the last thing i remember. The next thing i remember was feeling pain in the back of my head and i realized i had fallen. My mom says my eyes were open but i dont remember anything, i dont really remember falling at all. I feel weird now i can t really explain it but i feel very weird and kind of sluggish, i feel like im lagging as i look around and i keep yawning, but im not really sure if i should go to sleep. There s still pain in my head of course, but i put some ice. This has never happened to me before though, and im really afraid.
Fri, 9 Jan 2015
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Neurologist 's  Response
As narrated by you, there are two most likely possibility one is syncope and other seizure. But syncopal attack is more plausible diagnosis as your loss of consciousness was postural and is associated with lightheadedness at onset. Seizure episode usually begins suddenly with abnormal jerky movements of limbs, neck deviation, tongue bite, incontinence and unrolling of eyes. Fortunately you don't have any such complains. For investigation regarding syncope you need to get you blood pressure measured, ecg of heart. For treatment you should increase your salt and water intake, move legs before arising from bed or sitting position , leg stockings also helps. If all this measures don't help then medications may help. Avoid crowded and humid places and tight collar dresses. Consult a doctor for further evaluation. Hoping for your good health.
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What Could Cause Sudden Swaying And Fall With Sluggishness?

As narrated by you, there are two most likely possibility one is syncope and other seizure. But syncopal attack is more plausible diagnosis as your loss of consciousness was postural and is associated with lightheadedness at onset. Seizure episode usually begins suddenly with abnormal jerky movements of limbs, neck deviation, tongue bite, incontinence and unrolling of eyes. Fortunately you don t have any such complains. For investigation regarding syncope you need to get you blood pressure measured, ecg of heart. For treatment you should increase your salt and water intake, move legs before arising from bed or sitting position , leg stockings also helps. If all this measures don t help then medications may help. Avoid crowded and humid places and tight collar dresses. Consult a doctor for further evaluation. Hoping for your good health.