Magnetic resonance brain imaging in people with dizziness: a comparison with non-dizzy people (2024)

Magnetic resonance brain imaging in people with dizziness: a comparison with non-dizzy people (1)

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Magnetic resonance brain imaging in people with dizziness: a comparison with non-dizzy people

  1. N Colledge1,
  2. S Lewis2,
  3. G Mead2,
  4. R Sellar3,
  5. J Wardlaw4,
  6. J Wilson5
  1. 1Department of Geriatric Medicine, Liberton Hospital and Royal Infirmary, Edinburgh, UK
  2. 2Department of Clinical and Surgical Sciences, (Geriatric Medicine) University of Edinburgh
  3. 3Department of Neuroradiology, Western General Hospital, Edinburgh
  4. 4Department of Neuroradiology, University of Edinburgh
  5. 5Department of Head and Neck Surgery, University of Newcastle, Newcastle upon Tyne, UK
  1. Correspondence to:
 Dr Gillian Mead, Department of Clinical and Surgical Sciences (Geriatric Medicine), 21 Chalmers Street, Edinburgh EH3 9EW, UK;
 gillian.e.mead{at}ed.ac.uk

Abstract

Background: Dizziness is a common symptom affecting about 30% of people over the age of 65.

Objective: To investigate the hypothesis that structural abnormalities of the brain and cervical cord are more common in dizzy than in non-dizzy subjects.

Methods: A case–control study of subjects over the age of 65 with and without dizziness: 125 dizzy subjects and 86 non-dizzy subjects were recruited from the community through articles in the local press. Magnetic resonance imaging (MRI) of the brain and neck was performed, and was read by a consultant neuroradiologist blind to the clinical details.

Results: All dizzy subjects and all controls had at least one structural abnormality. Cerebral atrophy was found in 86% of dizzy subjects and 85% controls (p = 1.0) At least one white matter lesion was found in 69% of dizzy subjects and 78% controls (p = 0.21). White matter lesions in the midbrain were more common in dizzy than in non-dizzy subjects (22% v 4%, p < 0.001). There were no significant differences in the prevalence of cord compression, cervical subluxation, facet joint degeneration, vertebral artery compression, or vertebral artery occlusion between dizzy and non-dizzy subjects.

Conclusions: Structural abnormalities of the brain and neck are common in both dizzy and non-dizzy subjects. “Routine” MRI is unlikely to reveal a specific cause for dizziness. The observation of more frequent white matter lesions in the midbrain in dizzy subjects requires further study to determine whether small vessel changes could cause dizziness in older people.

  • dizziness
  • magnetic resonance brain imaging

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    Magnetic resonance brain imaging in people with dizziness: a comparison with non-dizzy people (2024)

    FAQs

    Magnetic resonance brain imaging in people with dizziness: a comparison with non-dizzy people? ›

    The only difference in MRI between dizzy and non-dizzy subjects was that midbrain white matter lesions were more common in the dizzy subjects.

    What can a brain MRI show for dizziness? ›

    MRI is preferred over CT due to its superiority in visualizing the posterior fossa, which is often the location for a central etiology of vertigo. MRI will rule out acute and chronic ischemic disease, cerebellopontine lesions such as vestibular schwannomas and meningiomas, as well as multiple sclerosis.

    What are the red flags for dizziness? ›

    In more serious cases, dizziness may indicate a brain bleed or stroke. Red flags for a serious neurological issue include: Double vision. Slurred speech or trouble finding words.

    What's the difference between dizziness and vertigo? ›

    Dizziness is one of the most common health problems for adults. Dizziness can be a range of sensations including feeling light-headed, faint, woozy, giddy, unsteady, off-balance or weak. Vertigo is a type of dizziness that feels as though you or your surroundings are spinning.

    Does MRI with contrast cause dizziness? ›

    Side Effects of Gadolinium-Based Contrast Dyes

    Most of the side effects of gadolinium-based contrasts (GBCDs) are mild, including: Headache. Nausea. Dizziness.

    How do you know if dizziness is brain related? ›

    If you have vertigo due to problems in the brain (central vertigo), you may have other symptoms, including: Difficulty swallowing. Double vision. Eye movement problems.

    Why would a doctor order an MRI for dizziness? ›

    If your doctor suspects you are having or may have had a stroke, are older or suffered a blow to the head, he or she may immediately order an MRI or CT scan. Most people visiting their doctor because of dizziness will first be asked about their symptoms and medications and then be given a physical examination.

    What are the 5 D's of dizziness? ›

    Posterior circulation stroke affects around 20% of all ischemic strokes and can potentially be identified by evaluating or assessing the “Five D's”: Dizziness, drowsiness, dysarthria, diplopia, and dysphagia.

    What are the top 3 causes of dizziness? ›

    Dizziness has many possible causes, including: low blood pressure. migraine. stress or anxiety.

    Why do I feel off balance but not dizzy? ›

    Common causes include inner ear problems, medicines, infections, and traumatic brain injury. These disorders can occur at any age. But they are most common as you get older. Treatment depends on the underlying cause and can include medicine, rehabilitation, and lifestyle changes.

    What can be mistaken for dizziness? ›

    Dizziness and vertigo are two similar feelings with an important difference. Because of this, it's important to avoid using them interchangeably. Dizziness is a general feeling of being off-balance. Vertigo is the feeling that you or your surroundings are moving or spinning.

    What gets rid of dizziness fast? ›

    How you can treat dizziness yourself
    1. lie down until the dizziness passes, then get up slowly.
    2. move slowly and carefully.
    3. get plenty of rest.
    4. drink plenty of fluids, especially water.
    5. avoid coffee, cigarettes, alcohol and drugs.

    When should you worry about dizziness? ›

    Generally, see your doctor if you experience any recurrent, sudden, severe, or prolonged and unexplained dizziness or vertigo. Get emergency medical care if you experience new, severe dizziness or vertigo along with any of the following: Sudden, severe headache. Chest pain.

    Why do I need a brain scan for dizziness? ›

    Obviously, if a specific diagnosis such as an acoustic neuroma is suspected, then MRI should be performed. The observation of more frequent white matter lesions in the midbrain in dizzy subjects requires further study to determine whether small vessel changes could cause dizziness in older people.

    What is the best imaging for dizziness? ›

    MRI Scans. In some people with vertigo—in particular those who also have hearing loss—doctors may recommend an MRI scan to obtain a closer look at the inner ear and surrounding structures.

    Why do I need a CT scan for dizziness? ›

    When patients present to the ED with dizziness, oftentimes the provider will order a computed tomography (CT) scan to rule out serious medical problems, such as intracranial bleeding or stroke.

    What tests does a neurologist do for dizziness? ›

    Your neurologist or movement disorder specialist will perform a history and physical examination of your eye movements, cranial nerves, speech, coordination, gait, and sensation. They may order imaging including MRIs or CT scans to determine a neurological cause of your balance symptoms.

    Can an MRI show balance problems? ›

    MRI and CT scans can determine if underlying medical conditions might be causing your balance problems.

    Can an MRI set off vertigo? ›

    The MRI's strong magnetic field exerts a force on the fluid that circulates in the inner ear's balance center, resulting in a sensation of unexpected and unsteady movement [15] that increases the risk of falling, which is a known result of vertigo or dizziness.

    What abnormalities can be seen on a brain MRI? ›

    More specifically, a brain or head MRI can show if there are any abnormalities in your brain or the surrounding tissues, including, but not limited to: Inflammation and swelling. Structural issues. Abnormal growths or masses.

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