Does brain atrophy cause dizziness?

Written by Zhang Hui
Neurology
Updated on March 23, 2025
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If it is brain atrophy, generally it does not cause dizziness; patients with mild conditions may not show any clinical symptoms. If it is severe, the main symptoms are those of dementia, such as possible sluggish reactions, memory decline, reduced computational abilities, impaired executive functions, and even psychiatric symptoms. The most common disease clinically observed is Alzheimer's disease. If the patient has cerebellar atrophy, even mild cases might not exhibit any symptoms. Severe cases can experience dizziness, primarily manifesting as feeling drunk, accompanied by unsteady walking, unstable standing, and other signs of ataxia.

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Written by Li Jian Wu
Pulmonology
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Brain atrophy should be treated in the neurology department.

Cerebral atrophy is a type of vascular pathology. Patients need to visit the neurology department of a hospital for examination. Mild cases may lead to a decline in memory, while severe cases can affect intelligence and the ability to live normally. Patients with mild symptoms should timely follow medical advice to choose medications that nourish brain cells, and should also stabilize blood pressure, blood sugar, and blood viscosity. Engaging in intellectual games, exercising brain cells, having family companionship, participating in outdoor exercises to enhance immune capabilities, stabilizing the condition, and undergoing regular follow-ups are also advised.

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Written by Bian Jun Li
Neurology
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Cerebellar atrophy symptoms

The main functions of the cerebellum include maintaining bodily balance, controlling posture and gait, regulating muscle tone, and coordinating the accuracy of voluntary movements. Therefore, the primary symptoms of cerebellar atrophy involve ataxia, with patients displaying instability in standing, a staggering gait similar to that of a drunken walk; speech may manifest as cerebellar speech, or a chanting-like pattern; there can also be disorders in fine motor skills, where some precise movements cannot be accurately performed, and coarse movements may sometimes not be severely affected; additionally, there can be disturbances in eye movement, presenting as tremors of both eyes, and patients may experience symptoms of vertigo clinically.

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Written by Zhang Hui
Neurology
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Is cerebellar atrophy serious?

Cerebellar atrophy is primarily a radiological finding, typically observed on cranial CT or MRI scans that show cerebellar shrinkage. The extent of cerebellar atrophy does not necessarily correlate with clinical manifestations; the severity of the atrophy may not align with the severity of clinical symptoms. If cerebellar atrophy occurs without any clinical symptoms and the patient remains agile and strong, then it is considered not severe. However, some diseases that cause cerebellar atrophy can be quite severe, such as multiple system atrophy, which has a subtype called olivopontocerebellar atrophy. This condition can lead to significant gait instability and limb ataxia, causing issues like inaccurate finger-to-nose testing and unstable object handling. The symptoms are definitely very severe, and the prognosis is very poor. Additionally, long-term alcohol consumption and alcohol poisoning can also cause cerebellar atrophy, which is also quite severe. In such cases, abstaining from alcohol and administering B vitamins are necessary for treatment, but the prognosis remains poor.

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Written by Zhang Hui
Neurology
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Can cerebellar atrophy be treated?

There are various causes of cerebellar atrophy, and whether it can be treated depends crucially on the cause. If the atrophy is caused by genetic heart disease, there are no effective treatment options. For example, cerebellar ataxia due to spinal ataxia or multiple system atrophy typically worsens progressively, manifesting in significant coordination loss, unstable walking, and other clinical symptoms, with a lack of effective treatment options. However, cerebellar atrophy caused by long-term alcohol consumption can be treated. It is most important to quit drinking and then administer high doses of B vitamins, which can significantly improve symptoms. If cerebellar atrophy is caused by cerebellar ischemia, actively improving cerebral blood supply and taking antiplatelet aggregation drugs can also be effective. (Note: This answer is for reference only. Please consult a professional physician for medication guidance and avoid self-medication.)

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Written by Zhang Hui
Neurology
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The reason why people with cerebral atrophy curse

This situation primarily arises from brain atrophy causing Alzheimer's disease, which is a very common neurodegenerative disorder. In the middle and late stages, patients may exhibit significant personality changes, becoming irritable, easily angered, and paranoid, often engaging in behaviors such as hitting or cursing others. They may also experience hallucinations, such as vivid visual and auditory hallucinations. The disease is mainly due to the degeneration and death of neurons in the temporal lobe and hippocampus, leading to the atrophy of the cerebral cortex. This causes the release of some of the patient's primitive instincts, leading to a series of clinical manifestations, which can be symptomatically managed.