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In reality, orthostatic hypotension can cause vague symptoms (e.g. dizziness) which are similar to those caused by VBI; VBI should only be considered where the stenosis is severe and/or there are focal neurological symptoms specific to the posterior circulation. [6] VBI may also result from altered blood flow as seen in subclavian steal syndrome.
Treatment may include drinking plenty of water or other fluids (unless the lightheadedness is the result of water intoxication in which case drinking water is quite dangerous). If a patient is unable to keep fluids down from nausea or vomiting, they may need intravenous fluids such as Ringer's lactate solution .
Vertigo may be associated with rheumatoid arthritis via the following associations that can cause vertigo: Ménière's disease [41] [42] "Biologic disease-modifying antirheumatic drugs" [43] This may not happen in the absence of infection. [44] Atlanto-axial joint instability can cause symptoms including vertigo and sudden death. [45]
Inflammatory arthritis can sometimes cause symptoms in parts of the body other than the joints, like the eyes, heart, or lungs. As arthritis progresses, joint damage can get worse.
Atlantoaxial instability is a common asymptomatic finding in rheumatoid arthritis patients. [3] However, it can lead to cervical myelopathy. [4] Patients with atlantoaxial instability can experience neck pain and headaches in the back of the head (occipital headaches).
Vertigo or dizziness; Weakness of limbs; Symptoms are frequently worsened by a Valsalva maneuver, or by being upright for long periods of time. The reason that being upright is problematic is that gravity allows increased interaction between the brain stem and the top of the spinal column, increasing symptoms.
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