Hello doctor
When i closed my eyes while standing i suddenly feel dizzy and not able to balance myself and fell down.
If i stand with opening eyes i am stable ,but when i close my eyes while standing i feel dizzy.
I have consulted several ent surgeons and neurologists
All reports of mri of brain and hrct of ears are normal
Plz help me in figuring out this problem
Thanks
Answers (9)
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Get your b.p. checked in supine , sitting and standing positions. Get Haemoglobin, blood sugar, thyroid function tests, done and share results, then I can help you further.
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This is suggestive of a positive Romberg’s sign.
That means the you relies heavily on vision to maintain balance. When vision is removed, proprioception (position sense from joints/feet) or vestibular function may be impaired
Possible causes:
-Sensory ataxia (proprioceptive pathway problem: dorsal column dysfunction, peripheral neuropathy, vitamin B12 deficiency, etc.)
-Vestibular dysfunction (even if imaging normal, subtle vestibular hypofunction can cause imbalance with eyes closed).
Next Steps
1. Neurology follow-up for detailed examination of posterior column and peripheral nerves.
2. Blood tests – Vitamin B12, Vitamin D, thyroid function, fasting glucose, HbA1c.
3. Nerve conduction study (NCS/EMG) to check peripheral neuropathy.
4. Vestibular function tests (VNG, caloric test, VEMP).
5. Avoid situations where falling may cause injury until diagnosis is clear.
Health Tips
Always keep support nearby when standing with eyes closed.
• Avoid standing in risky places (stairs, uneven ground).
• If any new symptoms (numbness, weakness, vision changes, incontinence) appear, seek urgent neurological care.
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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