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Symptoms that are worse when sitting or standing and improve when lying down, including lightheadedness, vertigo, tinnitus, slurred speech, confusion, coathanger pain in neck and shoulders, grayed or blurred vision, severe fatigue, fainting or near fainting: Complications: Cumulative brain damage, sudden death from falls: Diagnostic method
Lightheadedness is a common and typically unpleasant sensation of dizziness [1] or a feeling that one may faint. The sensation of lightheadedness can be short-lived, prolonged, or, rarely, recurring. In addition to dizziness, the individual may feel as though their head is weightless.
“If the lightheadedness or dizziness is not improving by lying down or your balance is compromised, you should immediately visit the closest emergency department,” Dr. Shaikh says.
Post-dural-puncture headache (PDPH) is a complication of puncture of the dura mater (one of the membranes around the brain and spinal cord). [3] The headache is severe and described as "searing and spreading like hot metal", involving the back and front of the head and spreading to the neck and shoulders, sometimes involving neck stiffness.
It ties back to the idea that "this is a complex brain disorder, and it's not just a headache," Singh says. Migraine aura symptoms. After the prodrome phase, some people also experience an aura ...
Dizziness is broken down into four main subtypes: vertigo (~25–50%), disequilibrium (less than ~15%), presyncope (less than ~15%), and nonspecific dizziness (~10%). [5] Vertigo is the sensation of spinning or having one's surroundings spin about them. Many people find vertigo very disturbing and often report associated nausea and vomiting. [6]
[23] [25] This headache is usually made worse by standing and typically becomes prominent throughout the day, with the pain becoming less severe when lying down. [26] Orthostatic headaches can become chronic and disabling to the point of incapacitation. [23] [27] [28] [29] Some people will develop headaches that begin in the afternoon.
Orthostatic (postural) hypotensive syncope is caused primarily by an excessive drop in blood pressure when standing up from a previous position of lying or sitting down. [9] [1] When the head is elevated above the feet the pull of gravity causes blood pressure in the head to drop. This is sensed by stretch receptors in the walls of vessels in ...