Neurology

Ask a neurologist. Get answers to your neurology questions.

Ask a Doctor,
Get an Answer ASAP!

Main symptoms: Woozy feeling light headed type of looking at…

Customer Question
Main symptoms: Woozy feeling light...
Main symptoms: Woozy feeling light headed type of looking at both computer screens and trying to focus my eyes is tough and continues to get worse but once I do it slower it focuses easier quicker. (Said if earlier but best way to explain is when you bend over and then stand up quick that type of feeling but all that time I am sure you can imagine it’s uncomfortable looking around all the time like that) secondary symptoms: Muscle fasculations all over body been going on with the light headedness when it all started. Weakness swallowing and progressing with the upper three Symtoms but started happening a bit later. Third level symtoms: Tingling in feet and itchy skin 5 days of it now consistently of that. This has been going on for 6-7 years have done lots of tests looking for things outside the box at this point it continues to get worse.
Submitted: 4 months ago.Category: Neurology
Show More
Show Less
Ask Your Own Neurology Question
Answered in 1 day by:
3/19/2018
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago
Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 12,696
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery
Verified

Hello -

Since this has been going on for 7 years they probably have done all of these, but have you had:

EKG?

Holter monitor?

Blood pressure tests / orthostatic hypotension?

MRI brain?

Angiogram (CT or MRA) of the neck and brain?

Seen a neurologist? Seen an opthalmologist?

Ask Your Own Neurology Question
Customer reply replied 3 months ago
all have done and all
Blood work. I am
Trying to think outside the box now
Customer reply replied 3 months ago
I just had a Tesla 3 MRA of neck and brain a Friday all were
Normal
Customer reply replied 3 months ago
2018.
TECHNIQUE: Multiplanar, multisequence MRA sequences of the neck were
performed. Other: None.. Post-processing: Multiplanar 3D MIP
reconstructions. IV Contrast: 8.6 cc Gadavist.
Evaluation of stenosis by NASCET criteria.
FINDINGS:
RIGHT
Common Carotid: Patent. No dissection or significant stenosis.
Internal Carotid: Patent. No dissection or significant stenosis.
External Carotid: Patent. No dissection or significant stenosis.
Vertebral: Patent. No dissection or significant stenosis.
LEFT
Common Carotid: Patent. No dissection or significant stenosis.
Internal Carotid: Patent. No dissection or significant stenosis.
External Carotid: Patent. No dissection or significant stenosis.
Vertebral: Patent. No dissection or significant stenosis.
Intracranial Circulation: No stenoses or aneurysms in the visualized
portion of the intracranial vasculature.
Other: The soft tissues, bones, and lung apices are within normal
limits.MRA:
COMPARISON: CT temporal bone 1/4/2016; status MR brain 12/2/2015
TECHNIQUE: Multiplanar, multisequence MRA sequences of the brain were
performed. Other: None. Post-processing: Multiplanar 3D MIP
reconstructionsIV Contrast: 8.6 cc Gadavist
Stenosis evaluated by NASCET criteria.
FINDINGS:
RIGHT
Internal Carotid (ICA): No aneurysm, stenosis or anomaly.
Middle Cerebral (MCA): No aneurysm, stenosis or anomaly.
Anterior Cerebral (ACA): No aneurysm, stenosis or anomaly.
Posterior Cerebral (PCA): No aneurysm, stenosis or anomaly.
Posterior Communicating (P-COM): No aneurysm, stenosis or anomaly.
Vertebral: No aneurysm, stenosis or anomaly in the visualized upper
vertebral artery.
LEFT
Internal Carotid (ICA): No aneurysm, stenosis or anomaly.
Middle Cerebral (MCA): No aneurysm, stenosis or anomaly.
Anterior Cerebral (ACA): No aneurysm, stenosis or anomaly.
Posterior Cerebral (PCA): Fetal PCA. No aneurysm.
Posterior Communicating (P-COM): No aneurysm, stenosis or anomaly.
Vertebral: No aneurysm, stenosis or anomaly in the visualized upper
vertebral artery.
MIDLINE
Anterior Communicating (A-COM): No aneurysm, stenosis or anomaly.
Basilar artery: No aneurysm, stenosis, or vascular malformation.
Other: None.
Customer reply replied 3 months ago
Also had ultra sound of neck of the arteries as well
But no angiogram.
Customer reply replied 3 months ago
Last MRI was 2015 Dec Tesla 3 with and without contrast of the brain
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

OK.

It appears that you have nothing wrong with the circulation to the brain.

Have you seen a neurologist? Had a lumbar puncture peformed? Had EMG and nerve conduction studies? MRI of the cervical spine?

Ask Your Own Neurology Question
Customer reply replied 3 months ago
What would lumbar puncture do? And EMG yes in 2012
Customer reply replied 3 months ago
I am not weak except possibly swallowing
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

A lumbar puncture could look for increased pressure in the brain which could contribute to an issue with your vision and funny sensations in your head. They would also analyze the fluid for abnormalities. (It's probably unlikely that you have high pressure -- which generally causes headaches -- but if you've had everything else done already)

The EMG (a new one) can help to look at why you are having fasciculations in your body as well as look for evidence of progressive weakness, as well as the new symptoms of tingling in the feet (looking for neuropathy, muscle and nerve disorders)

But the main issue that seems to come to mind would be a blood pressure issue, such as orthostatic hypotension, which can cause a sudden lowering of blood pressure which can cause the feeling of lightheadedness (bend over and stand up quick like) and a constant low blood pressure to the brain can cause that kind of feeling. They would look for heart rhythm abnormalities and blood pressure readings --

https://www.mayoclinic.org/tests-procedures/tilt-table-test/about/pac-20395124

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Wouldn’t they seem the brain pressure in the MRI or in the MRA? Or in any other imaging? I really do not want to do a lumbar puncture I feel like they would have already caught that.
Customer reply replied 3 months ago
Blood pressure has been tested on my arm for the blood pressure as well
Customer reply replied 3 months ago
EMG you think should be done again even after 7 years and I’m gaining muscle at the gym these past years?
Customer reply replied 3 months ago
the brain pressure would have pressed on those arteries and shown obstruction or pressure on it right?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

No, the intracranial pressure (ICP) cannot be measured on MRI or MRA.

They can see evidence of increased ICP if a neurologist or opthalmologist looked into your eyes, by looking for "optic nerve edema" or swelling of the nerve that goes to your eye.

The circulation itself is usually not affected by the increase in ICP (because the blood pressure is much higher pressure than the normal brain pressure). So even in cases of high ICP, it is not "pressing" on the arteries to cause obstruction.

The EMG can be helpful if you were feeling "weaker" -- but if you're gaining muscle and the fasciculations are not a problem, then it probably is not helpful. The nerve conduction testing can help to look for neuropathy for the tingling issues in your feet, however.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Can they do a retinal fundus? Or is there anyway to confirm I do not have ICP without an invasive procedure like spinal tap and would this be plausible that this could go on for 6-7 years?
Customer reply replied 3 months ago
slowly get worse?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

The neurologist can look in the eyes at the optic nerve, and they can do ultrasounds to look for evidence of optic nerve edema.

I agree, this is unlikely that this would be going on for 6-7 years at this point, but it would be one of the things that could possibly cause vision issues with "weird" sensations in your head.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Would this confirm then without doing spinal tap? I am not getting to many headaches unless I stare at tv for a couple hours or could they look into my eyes for that as well?
Customer reply replied 3 months ago
It just slowly gets worse on a daily basis and I don’t know
If it would fall under this I don’t have high BP either or infections or anything.
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

Well, it could likely rule out a high ICP if there is no optic nerve swelling, but the confirmation comes with the lumbar puncture. But if there is no optic nerve swelling, then it's unlikely that they would do a lumbar puncture.

The concern would be for low blood pressure rather than high blood pressure for issues with your vision and woozy light headed feeling.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
I am 23 year old Male 194
Customer reply replied 3 months ago
190 lbs
Customer reply replied 3 months ago
Not much of a head ache but vision is as announced earlier I have normal BP I have been checked for that standing and sitting etc etc and this lasts all day everyday
Customer reply replied 3 months ago
Isn’t 90% of these cases women’s and obese women?
Customer reply replied 3 months ago
could this progress like this? Would this make sense?
Customer reply replied 3 months ago
Even though I do not get to many head aches I just get woozy type feeling light headed
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

For pseudotumor cerebri -- yes, it is most seen in young, larger women.

But "thinking outside the box" would include considering that in a young, not overweight man.

But it wouldn't typically progress like this, so it doesn't quite fit your symptoms.

The woozy type lightheaded symptom is much more consistent with a low blood pressure type of issue.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Yeah I have an at home BP thing and it’s always normal.
Customer reply replied 3 months ago
Is it life threatening if it continues to get worse?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

It does not sound like it is life threatening, considering you've had all these tests done to rule out the potential life threatening issues (MRIs, angiograms, etc).

Ask Your Own Neurology Question
Customer reply replied 3 months ago
But if this is the benign version that keeps getting worse that itself is not life threatening right?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

Correct -- not life threatening.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Why is that?
Customer reply replied 3 months ago
Why are other versions life threatening but this one is not?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

Pseudotumor is a condition where the ICP is elevated, but not elevated to the point where it can impair bloodflow, and cause strokes. Very high pressures could cause vision loss, and that is considered an emergency, but not life-threatening.

So it is simply annoying to most people.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Okay impaired blood flow have showed on MRA of head and neck with contrast right?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

Yes, it would have shown up on the MRA.

I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Also sense I am gaining more muscle with this twitching all over my body the pst 6-7-8 years this is shows I don’t have a nerve degenerative disease?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

If you are gaining more muscle -- you clearly don't have a degenerative disease.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Okay that is weird what is causing it then hmmm
Customer reply replied 3 months ago
Could I be a drug baby? I was adopted?
Neurologist: Dr. Mark, Neurologist (MD) replied 3 months ago

Don't worry - this wouldn't have anything to do with being a "drug" baby.

Ask Your Own Neurology Question
Customer reply replied 3 months ago
Okay hmmm do you think it could have something to do
With my liver not functioning properly all my enzyme are normal except high billirubin. One thing I will say you know when your head is dizzy from spinning around and your eyes try and focus on things but they can’t clearly that is kind of the feeling when I turn I get that dizzy feeling and my eyes don’t enable me to focus because my brain is saying I am dizzy so it’s a bit fuzzy that is what gets worse.
Customer reply replied 3 months ago
Hello?
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a neurologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Mark Your Own Question
Dr. Mark
Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 12,696
12,696 Satisfied Customers
Experience: Neurosurgeon - Brain, spine, and peripheral nerve surgery

Dr. Mark is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

12,696 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,773 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
Subbanna, It has been several months since we last
Hello Dr. Subbanna, It has been several months since we last communicated. This is Dr. Ray with a follow up/few questions for you please. Overall I appear to be improving however that is based on the … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Main symptoms: Woozy feeling light headed type of looking at
Main symptoms: Woozy feeling light headed type of looking at both computer screens and trying to focus my eyes is tough and continues to get worse but once I do it slower it focuses easier quicker. (S… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,217 satisfied customers
My symptoms started with a tingly feeling shooting down my
My symptoms started with a tingly feeling shooting down my legs and arms when I bend my neck forward. That lasted about a month. Then my left foot went numb/tingly constantly and especially my toes. T… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have a concern about muscle twitching, and I am not sure
I have a concern about muscle twitching, and I am not sure about what to do or how concerned I should be. I will say that I have high anxiety when I have new symptoms, and I am sure that that is not h… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Can IIH cause lightheadedness and memory problems? I have
Can IIH cause lightheadedness and memory problems? I have IIH and have recently gained about 25 lbs. I am having worsening headaches (they are alleviated by caffeine or ibuprofen), brief bouts of ligh… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Second opinion] i was just wondering i know that anxiety can
Second opinion] Hello i was just wondering i know that anxiety can cause pins and needles and tingling i was just wondering if taking abilify can cause these symptoms or would the symptoms appear soon… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,773 satisfied customers
Dr: Who specializes in teaching relaxation techniques? I
Dr Frank: Who specializes in teaching relaxation techniques? I won't take Robaxin if it continue not to work. Anything stronger is bound to be addictive and I'm not for that. Pain management? Biofeedb… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
I have been experiencing tingling in my head for several
I have been experiencing tingling in my head for several months then today my right ear started ringing and feels full.… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
I've had episodes of light-headedness for many months now.
I've had episodes of light-headedness for many months now. Some periods this goes on for hours. Other times (like now) it's continuous 24 hours for days. Also I've had sporadic episodes of ringing in … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,773 satisfied customers
Please only answer this if you're a DR in Neurology. My
Please only answer this if you're a DR in Neurology. My story: Never had any health issues or been treated for anxiety and/or depression. I'm 33 years old Male. One month ago I was taken by ambulance … read more
Expert
Expert
How may multi[ple sclerosis take my life.? I wont do it
How may multi[ple sclerosis take my life.? I wont do it myself,but I am 75 , and I sure am not looking forward to another 10 years of suffering with my head and increasing pain and weakness. Have I an… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
My left hand is almost unmovable. I stay off it all last
My left hand is almost unmovable. I stay off it all last night. It gets progressively worse. My index and middle finger are the focus just ahead of the wrist. It is like the tendons are inflamed. Very… read more
neuromd2012
neuromd2012
Neurologist/Staff Clinician
Doctoral Degree
2,815 satisfied customers
Thanks a lot for your respondse. It has been 3 months now,
Thanks a lot for your respondse. It has been 3 months now, the paraesthesia on my left face didnot disappear and the same symptom has appeared on the right side. I had lyrica and it was not working. C… read more
CaliforniaMD
CaliforniaMD
Post-Doctoral Degree
1,419 satisfied customers
I've had severe photophobia and chronic headaches (mostly on
I've had severe photophobia and chronic headaches (mostly on top of my head) since entering menopause about 2 years ago. I'm 55 years old,not on hormone therapy. Currently on Paxil and Klonopin. Been … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,773 satisfied customers
I have beeing having trouble with irritations in my body for
I have beeing having trouble with irritations in my body for the last 6+ years. -------------------------------------------------------------------------------- I have been unable to get the caused di… read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
I've recently been experiencing severe muscle weakness. It
Hello, I've recently been experiencing severe muscle weakness. It started 2 weeks ago. It began with a tingling in my toes and after a few hours they went numb and I was unable to move or bend them. A… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
34,105 satisfied customers
I am a diabetic, female and have peripheral neuropathy. To
I am a diabetic, female and have peripheral neuropathy. To me it seems like the numbness in my feet is getting worse. How bad can it really get? It also feels like there is some numbness in my lower l… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I am a 38 year old female and I have being going to a
I am a 38 year old female and I have being going to a chiropractor for neck and mid-back issues for years. One of my symptoms from time to time is tingling scalp with some lightheadedness and centrali… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x