@jadillow
@jadillow Hi,
Sorry you are experiencing this and also the frustration of not getting answers and an effective treatment plan. My husband has had five strokes since 2018 with the last two being cerebellar. From the moment he plants his feet on the floor for the last three years he says he feels dizzy and lightheaded, like when you are inebriated. He has been diagnosed by his neurologist as the cause being 3PD, which I think is accurate, but at times he’s also had orthostatic blood pressure upon standing. The three PD is induced by motion and worsened by his anxiety. Here are some information on both of these conditions. Hope you find it helpful.
“While both 3PD (Persistent Postural-Perceptual Dizziness) and orthostatic hypotension can cause dizziness, the key difference is that 3PD is primarily a sensory perception issue related to balance and spatial awareness, while orthostatic hypotension is a drop in blood pressure upon standing, causing dizziness due to reduced blood flow to the brain; essentially, 3PD is more about "feeling" unsteady, while orthostatic hypotension is a physiological change in blood pressure that can lead to dizziness or lightheadedness.
Key points to differentiate:
Mechanism:
3PD is thought to be related to a dysfunction in the brain's processing of sensory information regarding balance, while orthostatic hypotension is caused by a failure of the body to adequately adjust blood pressure when standing up.
Symptoms:
3PD often presents with a feeling of swaying, rocking, or veering, even when physically stable, while orthostatic hypotension can include dizziness, lightheadedness, blurred vision, and sometimes fainting upon standing.
Diagnosis:
Diagnosis of 3PD is primarily based on patient history and symptoms, as there is no definitive diagnostic test, whereas orthostatic hypotension is diagnosed by measuring blood pressure changes when standing up.
Postural Orthostatic Tachycardia Syndrome (POTS) - Johns Hopkins Medicine
POTS is diagnosed only when orthostatic hypotension is ruled out and when there is no acute dehydration or blood loss. Orthostatic hypotension is a form of low ...
Johns Hopkins Medicine