Could this be a cervicogenic dizziness? - Strict positional symptoms (Heavy head, Dizziness, head pressure, head and upper body heating sensation, eye floaters)
Hi everyone,
I’m a 26-year-old looking for insight from anyone who has experienced a similar cervicogenic dizziness. For the past 4 months, I’ve been dealing with a cascade of highly positional symptoms. My Brain MRI and C-Spine MRI (without contrast), ENT balance tests, blood work, and comprehensive eye exams are all completely normal/clear.
Because my imaging shows no structural issues, I am trying to figure out if these symptoms could still point to a cervicogenic dizziness. Here is my exact timeline and how my symptoms behave:
- Month 1: It started suddenly while working at a computer desk. I felt a highly uncomfortable sensation in my upper neck, and my upper spine was in acute pain for several days.
- Month 2: 10 days later, a severe, sharp stabbing pain developed strictly behind my eyebrows (nowhere else). It was highly positional and accompanied by a hot, heating sensation in my head. Interestingly, it immediately vanished a month later after doing chin tucks, but came back 10 days later.
- Month 3: The eyebrow headache eventually stopped on its own after a week, but the head and upper body heating sensation peaked. Exactly 7 days after that peak, a constant dizziness started. Chin tucks was not helping this time.
- Visual Symptoms: 10 days into the dizziness, 3 eye floaters appeared in my left eye. An ophthalmologist confirmed my retinas are perfect. Since then, they have increased to 10–15 very faint, semi-translucent floaters (10-20% opacity) only visible under heavy overhead lighting or white backgrounds.
- Month 4: The dizziness became constant, "drunk/off" sensation rather than room-spinning vertigo. I also started experiencing sudden heart rate spikes and newly elevated/borderline blood pressure.
- Recent Symptom (Past Month): When getting up, my head often feels incredibly heavy, like something is physically pressing down on it. This heavy head sensation is significantly worse when I am tired or sleep-deprived.
Strict Orthostatic / Postural Triggers:
- The Upright Heat & Pressure: The upper body/head heating sensation and the heavy-head pressure are 100% tied to gravity. They are active while standing or walking, sometimes ease slightly when sitting down, and disappear when lying in bed.
- Sensory Overload: My dizziness severely spike when I enter visually busy, crowded places or supermarkets.
- Postural Trigger: Last week, I drove for hours on a dark, rough dirt road where I had to tense and jut my head forward. This specific posture exactly reproduced the original stabbing pain slightly above my eyebrows a few times while driving.
My Questions for the Group:
- Does a constant "drunk" floating dizziness (rather than a typical low-pressure headache) match anyone else's dizziness experience?
- Has anyone experienced upper body/head heating sensations or sudden heart rate spikes upon standing up as a secondary feature of a cervicogenic dizziness?
- Did anyone have normal/clear Brain and C-Spine MRIs initially but later found a better way to get it checked?
I would love to hear your thoughts, experiences, or any advice on what questions I should ask my specialists next. Thank you so much.