What causes a sudden dizziness in the back of the head?

Sep 06, 2022 Source: Cainiu Health
Dr. Yang Jun
Introduction
A sudden episode of dizziness at the back of the head may occur when changes in neck or head posture cause transient cerebral ischemia, or it may happen during sudden, intense physical activity. It could be due to cervical spondylosis—commonly caused by cervical osteophytes compressing the vertebral-basilar artery, thereby reducing cerebral blood flow. Cerebrovascular disease may also produce this symptom, typically resulting from insufficient cerebral perfusion.

A sudden dizziness in the back of the head may be caused by physiological factors, or it could result from pathological conditions such as cervical spondylosis or cerebrovascular diseases.

1. Physiological Causes

A sudden dizziness in the back of the head may occur when changes in neck and head posture lead to a temporary reduction in blood supply to the brain, or after sudden vigorous physical activity. This is usually a normal physiological phenomenon that resolves quickly on its own.

2. Cervical Spondylosis

Dizziness may also be due to cervical spondylosis, which commonly results from maintaining the same posture for prolonged periods or excessive fatigue leading to cervical bone spurs. These spurs can compress the vertebral-basilar arteries, significantly reducing cerebral blood flow. Patients may simultaneously experience symptoms such as neck stiffness, numbness in the limbs, vomiting, and nausea. In severe cases, blurred vision or difficulty breathing may occur.

3. Cerebrovascular Diseases

Cerebrovascular diseases can also cause such dizziness, including transient ischemic attack (TIA), cerebral infarction, and cerebral arteriosclerosis. These conditions typically lead to insufficient blood supply to the brain. Patients may also experience symptoms like headache, fatigue, and difficulty concentrating.