Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): 32 years old, did not appear dizzy before, from the middle of September this year began to appear dizzy headache phenomenon, continued until now, mainly in the back of the head, sometimes can feel the movement, except for dizziness and headache no other symptoms, in Shenzhen Beida did brain ultrasound and brain CT examination are normal, the doctor said I did not rest well, but the neurasthenia, but later sleep early also did not relieve the symptoms. The doctor said that I did not rest well, neurasthenia, but then sleep early also did not relieve the symptoms, in the middle also ate a few times Tianma stewed fish head, nourishing blood and clearing the brain particles Danshen tablets Baohe pill are useless, want to know the cause of the disease, and hope to get treatment. Guangzhou Brain Hospital Psychiatric Department Global: According to the information you provided, some intracranial diseases and vertebral artery-induced headache and dizziness can be ruled out, but we should pay attention to the headache and dizziness caused by cervical spine diseases. If you often sit in the office or often work in front of the computer for entertainment, pay attention to this possibility. It is best to have a cervical spine X-ray to find out if the cervical spine is deformed, narrowed or has long bone spurs, etc. If nothing can be found, there are some other diseases to consider: neurogenic headache, vascular headache, migraine, etc. These can be identified only after the doctor carefully asks about the characteristics and patterns of pain, and cannot be detected by physical examination, so it is recommended to come to the outpatient clinic for consultation. Patient: After five days of taking blood and brain-clearing pellets, the dizziness has recently become more intense, and the neck to the back of the head and the shoulders feel sore, is it really caused by problems in the cervical spine? Guangzhou Brain Hospital Psychiatric Department Wen Global: It could be, it’s best to take a look at the photos. Patient: Hello Dr. Wen, today went to do an EEG test showed normal, the cervical spine also did an X-ray examination has cervical spondylosis (X-ray performance: cervical spine axis in the center, physiological curvature straightening: the 4-6 cervical vertebrae anterior and posterior edges of the upper and lower angles of varying degrees of osteophytes, become pointed edge sclerosis, the corresponding hook protrusion hyperplasia become pointed, the corresponding intervertebral slightly deformed: cervical 5/6 vertebral space narrowing, the anterior longitudinal reflection belt calcification), but the doctor said The cervical spondylosis is not enough to affect dizziness, analysis of the cause is due to anxiety gave me half a month of venlafaxine hydrochloride extended-release capsules and brain protein hydrolysate tablets, I read the instructions, those drugs to eat to treat depression, I do not have depression, ah, can just eat? I have a feeling of nausea after eating the medicine at noon! Guangzhou Brain Hospital Psychiatric Department Wen Global: Hello! I can’t say whether you have depression or not, but from the photo, it is still possible to cause dizziness and headache. Now quite a few young people due to lack of exercise, sitting for too long, or pillow is not appropriate, will lead to deformation of the cervical spine, so that the physiological bend is reduced or even straightened, which will lead to pressure on the neurovascular coming out of the cervical spine. There are also changes in the physiological bending of the cervical spine, mostly caused by the tension of the neck muscles, which are not restored for a while, and the neck muscles may even become striated, and even calcification may occur in the long term, which will lead to many symptoms, such as shoulder and back pain, radioactive pain, headache, dizziness, irritability, poor sleep, mental fatigue, etc. Please do not take its harmful effects lightly. It is often seen in some of the patients I see who come in with neurasthenia, insomnia, and headaches, which is why I am speculating about your case. Treatment includes some physical therapy, improving pillow height, doing exercises, etc. If there are some other mental discomfort, insomnia, etc., it is better to get professional treatment.