Dizziness in Elderly Athlete

 
Have you started feeling dizzy?
 
We recently had a patient who started feeling dizzy, and nothing seemed to help. After seeing multiple doctors, he had an MRI which showed enlarged fluid-filled spaces in the brain. This led to the diagnosis of normal pressure hydrocephalus or NPH. 
NPH is a problem with the absorption of cerebrospinal fluid (CSF), the fluid that surrounds the brain and spine. Typically, NPH presents with unstable walking, dementia, and incomplete control of urine.
What else could be causing dizziness?
 
One of the first questions we ask is if it comes and goes or constant. If it comes and goes and gets worse with movement or certain positions, it could be BPPV (benign paroxysmal positional vertigo) or orthostatic hypotension. If it is not triggered by anything, it could be Meniere disease, a vestibular migraine, or a panic attack. Constant dizziness could be caused by trauma or certain medications, but could also be due to a problem in the ear like vestibular neuritis or a problem in the brain such as a stroke or transient ischemic attack.
 
Dr. Carfagno and his team combine expert clinical judgement, decades of experience and evidence based diagnostic algorithms to appropriately evaluate and manage your health. Call SSMI at 480-664-4615 today to schedule your evaluation.    
#dizzy #NPHawareness #sportsmedicine 
 
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