I am 67 years old and have under control levels diabetic, cholesterol and b. P. Some months back I had mild giddiness when I tilted my head downwards. Doctor prescribed medicine like stemmatil mild dose and dvised it due to old age when enough blood may not be going to brain and advised caution as the best cure to avoid downward jerks to head. Please give me second opinion and would you suggest a brain scan to know more.
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your issues can actually be due to pathology and degeneration in neck region or some lesion in head for which you will need a thorough evaluation and investigations. If you have attending neck pain, any radiating pain in upper or lower limbs, instability in gait etc, then these issues could be due to some degeneration in neck which could also be contributing to your vertigo. So we need a proper neurological evaluation before getting required mri scans done for you. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Hello sir your doctor has advised you correctly and your query is also valid rather than a brain scan, I ll advise a test called carotid doppler first it's like an ultrasound of neck to see flow of blood to your brain with age and previously high cholesterol levels and diabetes we get atherosclerosis of blood vessels (narrowing of vessels) can review with reports for further management
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