What To Do About Dizziness After A Stroke

Dizziness following a cerebral infarction can arise from various underlying causes, and the appropriate management depends on identifying and addressing those causes. Here are the key considerations:

1. Blood Pressure Fluctuations

High or low blood pressure can both contribute to dizziness after a stroke. It is essential to monitor and regulate blood pressure levels to an optimal range. Maintaining stable blood pressure helps reduce dizziness and supports overall recovery. Healthcare professionals may prescribe medications or lifestyle adjustments to achieve this balance.

2. Cerebral Ischemia And Hypoxia

When dizziness results from reduced blood flow and oxygen supply to the brain, it may indicate impaired brain function. In such cases, treatment focuses on improving circulation and restoring oxygen delivery to brain tissues. Doctors may prescribe antiplatelet medications like aspirin or clopidogrel to prevent further clot formation. For eligible patients within the early window of 4.5 to 6 hours post-stroke, thrombolytic therapy or mechanical thrombectomy may be performed to reopen blocked vessels and alleviate symptoms, including dizziness.

3. Brain Region Involvement

Cerebellar Or Brainstem Involvement

If the stroke affects the cerebellum or brainstem, which play a key role in balance and coordination, patients may experience dizziness, unsteady gait, nausea, and vomiting. These symptoms arise due to disruption in the brain's balance-regulating centers. Prompt and targeted stroke treatment is crucial to minimize damage and improve functional outcomes. Rehabilitation strategies, including vestibular therapy and physical therapy, may also be beneficial in managing dizziness and restoring stability.