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Neurology  (Expert Forum)
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Balance Disorder/Motion Sensitivity
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Balance Disorder/Motion Sensitivity

by Barbara__0__0, Oct 14, 1998 12:00AM

  I am a 44 yr old female who has had a balance disorder since 1996. I have been to the top specialists in the field and have had several diagnoses including viral endolabryinthitis, secondary hydrops, BPPV, Utricular disfunction,and variant migraine syndrome. Now I am told that the inner ear may not be involved, but I have deficits in the visual (amblyopia, monofixation syndrome) and proprioceptive areas. My attacks are usually caused by stress and sometimes follow a migraine. Symptoms can last for 7-10 days... dizziness, nausea, gait problems (lean to right and pick up or drag left foot). I am extremely sensitive to motions.Movements such as using a copier, cleaning off a desk, standing in a slow moving line and watching a mother rock her baby..will start up the dizziness and nausea. Lately I've also had fullness of the right side of my head and slight numbness down the right side of my face.I have had a right head tilt for years that seems to be getting worse. Could this be vestibular migraine or variant migraine syndrome?
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Thanks for your question.  It is apparent that you have had a very extensive
medical evaluation without a definitive diagnosis.  Vertigo can be one of
the symptoms associated with migraines, however it is unusual for such a
symptoms to persist for 7-10 days without other associated impairments.
Quite a number of your symptoms continue to suggest a problem in the
vestibular-ocular system.  For instance, you mentioned that a chronic
"head tilt" - do you have double vision or diagonally shifted images if
you hold your head upright?  Although uncommon, a lesion in the pathways
of the fourth cranial nerve (CN IV, trochlear nerve) can result in such
diagonal image shifts that are compensated by head hilting.  This explanation,
however, would not account for the intermittent nature of your problems or
the gait abnormalities.  I realize you mentioned evaluations by "top
specialists", but you are considering another neurological opinion, Dr. Oas
is a neurologist specialized in vestibular diseases in the Dept. of Neurology
at the Cleveland Clinic.
If you wish an appointment at the Department of Neurology at the Cleveland
Clinic, please call 1-800-CCF-CARE, or 1-216-444-5559.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.





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