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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr10.2009.2380.
Published online 2010 January 13. doi:  10.1136/bcr.10.2009.2380
PMCID: PMC3028420
Reminder of important clinical lesson
Post-traumatic dizziness
Simon William Dubrey1 and Wojtek Rakowicz2
1Hillingdon Hospital, Cardiology, Pield Heath Road, Uxbridge, Uxbridge, Middlesex UB8 3NN, UK
2Charing Cross Hospital, Neurology, Fulham Palace Road, Hammersmith, London W6 9NT, UK
Simon William Dubrey, simon.dubrey/at/thh.nhs.uk
Abstract
Following an episode of syncope, a 42-year-old woman was referred to exclude a cardiac cause. This primary event was determined to be a straightforward case of vasovagal syncope, resulting in mild head trauma. Following this, the patient was left with symptoms of dizziness and a subjective “muzzy” sensation. Initially assumed to be a form of “post-concussive symptom”, she was referred to a neurologist who employed neurovestibular manoeuvres to both determine the cause of these symptoms and satisfactorily resolve them.
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