instruction: am a 37 year old male who has been getting bouts of dizziness as well as what can only be described as electric shocks in my head there has also been what feels like a nerve twitch in my temple I have also found that my reaction time is a little slower I have gone for cardiac screening which involved a stress echo blood test and holster monitor all clear my doctor the referred me to an ent as well as sent me for mri of the brain and a second mri of the ear both clear the ent sent me for tests to check my vision and also check for vitigo the test came back listing that my eye movement was out of coordination which they said is consistent with a central reason my questions are what is causing the brain zaps spermatic dizziness what is a central reason and surely it would have shown up on an mri is a central reason a degenerative disease and does it lower life expectancy is it curable or reverseable hi marc welcome to icliniq I am a neurologist and here to help you are suffering from dizziness and electric shock over your face with some indoctrination of eyes as per your ophthalmologist nothing from cardiac eye and ent side but it seems neurological disorder it good that your mri brain is normal that means no structural lesion like tumor or mass or demyelinaion still there are many reasons that can not be seen on mri and we need to evaluate those answer we need to find out those causes with further testing answer central lesion means brain or brainstem related causes of your dizziness answer degenerative lesion at age 37 is less likely we need to evaluate it and only after that I can say so firstly give me detail description of your dizziness bouts how it starts any trigger lasting how long duration of your disease is it aggravates with position change have you suffering from slurred speech imbalance while walking I wants to see your mri brain you night need mri brain with angiography and contrast injection study then I will give further advise thanks I have had these symptoms for over years they come and go and can last anywhere from 3min to hours I also wanted to advise that in the last three years I have had iris hello marc ok I have seen your mri which is done on 10 12 2019 which is normal are you suffering from ringing sound in ear or vomiting like sensations any history of slurring of speech or blurred vision are you suffering from headache like migraine you all need mri brain with angiography and if needed gadolinium contrast study are you having any kind of addiction please give me your medication history if any I wants to see your routine reports like complete hemogram ear serum electrolytes na my ca serum creatinine got sept hiv hbsag anti hav urine routine regards okey what about headache that means episodic dizziness and tinnitus I think it looks peripheral vertigo not central ok I saw the blood routine reports now please do audiogram with bear mri with contrast regarding follow up doctor follow up messages 16 oct 2019 07 2am his ply answer me hello I have now had ringing in my ears lasting for four week what does this mean is this a risk for stroke what are the stroke risks can now confirm that I have now had the mri with contrast and it was unremarkable when I went to the ent they checked my hearing and advised it was fine the I have also been for more blood work which came back fine I do not know what else it could be hello I have now had ringing in my ears lasting for four week what does this mean is this a risk for stroke what are the stroke risks currently I am getting these brain zaps sensations around 90 times a day I have had these things for over a year now but only with in the last week I have been getting them that often sporadic dizzy spells lasting min to 10 hours electric shock pulse pressure type feeling ringing in my ear for the last weeks no hearing loss can watch to and have a conversation with out a problem what could this be