Balance problems with stiff neck & head.

The described episodes are less suggestive of primary neurological pathology or persistent hypertension. Clinical history favors episodic autonomic/anxiety–hyperventilation phenomenon with reactive transient BP elevation. Hunger-triggered symptoms also warrant exclusion of metabolic causes such as hypoglycemia and electrolyte imbalance. BP of 130/80 mmHg is within normal range. Improvement after amlodipine is likely coincidental, as oral amlodipine does not produce rapid symptomatic relief within 20–30 minutes. Regular antihypertensive therapy may not be necessary unless persistent hypertension is documented on serial recordings. Recommended evaluation: BP monitoring chart Blood glucose during symptomatic episodes CBC, electrolytes, calcium, magnesium Thyroid profile ECG ± Holter if clinically indicated No clear evidence of focal neurological deficit from current history. Clinical correlation advised.

No clear evidence of focal neurological deficit from current history. Clinical correlation advised.

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