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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 45139
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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My partner heard a "pop" in his head, he became dizzy and

Customer Question

my partner heard a "pop" in his head, he became dizzy and fell he also suffered blurred vision for around 10 minutes
JA: The Doctor can help. Just a couple quick questions before I transfer you. How long has your partner had dizziness? Has he used any medication for it?
Customer: he hasnt had dizziness before therefore no medication. he is not taking medication of any kind
JA: Has he seen a doctor about dizziness?
Customer: it only happened late last night
JA: Anything else in his medical history you think the doctor should know?
Customer: no
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 2 months ago.

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Customer: replied 2 months ago.
this was yesterday evening, he is fine today with no lasting effects
Expert:  Dr. Arun Phophalia replied 2 months ago.

This is called syncope. Following investigations would be needed to identify the cause;

1) MRI with gadolinium contrast

2) Magnetic resonance angiography (MRA)

3) Tilt table test

4) Carotid sinus massage

5) Electroencephalography (EEG)

6) Stress cardiac test

7) Total creatine kinase (CK) and heart enzymes

8) Blood electrolytes and blood glucose.

These should be able to zero down the cause.

He should be evaluated for the following which are the commonest cause for sudden fall or syncope;

1) bradyarrhythmias; this is the sudden slowing of the heart. it is mainly due to sinus and atrial node dysfunctions. Sick sinus syndrome is a prototype of these arrhythmias and is a major cause for syncope. 24 hour Holter monitoring, echocardiography etc are the investigations done for it.

2) neurocardiogenic mechanisms; this is the fall of the blood pressure suddenly due to a sudden sympathetic failure (failure of the autonomic nervous system).

3) carotid hypersensitivity syndrome is an exaggerated response to carotid sinus stimulation. In some studies, almost 50% cognitively normal people who had experienced non-accidental fall were diagnosed with carotid hypersensitivity.

4) orthostatic hypotension is due to failure of the autonomic nervous system and related heart regulatory mechanisms.

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Expert:  Dr. Arun Phophalia replied 2 months ago.

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