[40F] Experiencing uncontrolled eye movements, dizziness, and other symptoms

Patient Description

A 40-year-old female has been experiencing uncontrolled eye movements, described as darting to the left and up, accompanied by a sensation of being in a fog. These symptoms occur daily and persist for more than half the day. She also reports severe dizziness, likened to the feeling of being on a boat, which is constant throughout the day and has been ongoing for a year. The patient experiences confusion and an inability to focus, which has also been present for over a year. Additionally, she suffers from neck pain at the base of the spine, described as burning, pulling, and pinching, which has been persistent since 2011. The patient has had a history of a fall and currently has a mouth and ear infection. She experiences extreme muscle spasms and shaking. She is currently taking Lorazepam and has a known allergy to Gabapentin.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Vestibular Disorders: These are conditions that affect the inner ear and brain, and can cause symptoms like dizziness, eye darting, and balance problems. Examples include Meniere's disease and vestibular neuritis.

    • Treatment often involves medications to control symptoms and physical therapy to help with balance.
  • Neurological Conditions: Certain conditions that affect the brain and nerves, such as Multiple Sclerosis or a brain tumor, can cause symptoms like eye darting, dizziness, confusion, and muscle spasms.

    • Treatment depends on the specific condition and may involve medications, physical therapy, and sometimes surgery.
  • Anxiety Disorders: Conditions like Generalized Anxiety Disorder or Panic Disorder can cause symptoms like dizziness, difficulty breathing, shaking, and confusion.

    • Treatment often involves a combination of medication and psychotherapy.
  • Musculoskeletal Conditions: Conditions that affect the muscles and bones, such as a herniated disc or whiplash, could explain your neck and back pain.

    • Treatment often involves physical therapy, pain relievers, and sometimes surgery.

What you can do

You should definitely seek medical attention for your symptoms. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and order tests to help determine the cause of your symptoms.
  2. If your symptoms worsen or you develop new symptoms, seek immediate medical attention.
  3. Try to rest and stay hydrated. Avoid activities that make your symptoms worse.

What you should look out for

Seek immediate medical help if you experience any of the following:

  • Sudden, severe headache
  • Difficulty speaking or understanding speech
  • Sudden weakness or numbness in one side of your body
  • Loss of consciousness
  • Severe chest pain

Please remember that while I strive to provide accurate information, I am not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What are vestibular disorders and how do they affect the body?

Vestibular disorders are conditions that affect the inner ear and brain, leading to symptoms such as dizziness, balance problems, and uncontrolled eye movements. They can be caused by issues like Meniere's disease or vestibular neuritis, and treatment often involves medications and physical therapy to manage symptoms.


Can anxiety disorders cause physical symptoms like dizziness and confusion?

Yes, anxiety disorders can cause a range of physical symptoms, including dizziness, confusion, shaking, and difficulty concentrating. These symptoms are often a result of the body's stress response and can be managed with a combination of medication and psychotherapy.


What are the common treatments for musculoskeletal conditions causing neck pain?

Common treatments for musculoskeletal conditions like neck pain include physical therapy to improve strength and flexibility, pain relievers to manage discomfort, and in some cases, surgery if there is a structural issue like a herniated disc. Lifestyle changes and ergonomic adjustments can also help alleviate symptoms.


How can neurological conditions lead to symptoms like uncontrolled eye movements and muscle spasms?

Neurological conditions such as Multiple Sclerosis or brain tumors can affect the brain and nervous system, leading to symptoms like uncontrolled eye movements, muscle spasms, and confusion. These symptoms occur due to disruptions in nerve signaling and may require medications, physical therapy, or surgery depending on the specific condition.


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