Impairment of oxygen-carrying blood to the central balance part of the brain by the vertebro-basilar artery can cause dizziness and lightheadedness. High blood pressure (hypertension) may be associated with hardening and narrowing of the arteries (arteriosclerosis) whilst drug treatment may cause excessive reduction of the blood pressure. When a person stands up reflex contraction of muscles in blood vessel walls of the legs prevents pooling of blood due to gravity. The automatic (autonomic) nervous system controls this reflex. Patients with an autonomic neuropathy may suddenly drop their blood pressure (hypotension) and suffer lightheadedness, a faint or a drop attack.
Blood pressure is measured by the ENT practice nurse with a standard cuff applied to the upper arm. Postural hypotension is identified by measuring the blood pressure initially with the patient lying down. The patient is then asked to stand up quickly and the blood pressure reading recorded again.
As part of our on-going commitment to providing high standards of treatment to our patients, we are proud to be registered with the Care Quality Commission under the Care Standards Act 2000.
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Dr Gerald Brookes is regularly consulted by the media for his expertise. He has been interviewed by the Daily Mail, featured on Channel 4's Embarassing Bodies, looked after The X-Factor contestants and recently, appeared on BBC Radio 2 with Chris Evans.
Media: Channel 4
Adele was experiencing dizziness and balance problems so severe that she could barely function. In desperation, after consulting her GP to no avail, she got in touch with Channel 4’s Embarrassing Bodies team. The show then contacted Dr Gerald Brookes, who was able to diagnose her rare condition as Basilar Migraine.
Catherine Eade was having dizzy spells and balance problems. When inexplicably she started suffering memory loss too, she consulted Dr Gerald Brookes at The Harley Street ENT Clinic who correctly diagnosed her problem as benign paroxysmal positional vertigo (BPPV).
The Harley Street ENT Clinic looked after The X-Factor TV show contestants for many seasons. At the end of the 2010 season, Dr Gerald Brookes was interviewed by Nicky Broyd of Boots WebMD on the perils of high pressure performing.