What causes dizziness when closing the eyes during sleep, and what should be done about it?

Feeling dizzy when closing the eyes during sleep may be caused by physiological factors, or it could result from pathological conditions such as neurasthenia or cervical spondylosis. Targeted treatment should be provided based on the specific underlying cause. The detailed analysis is as follows:

I. Physiological Factors

In daily life, excessive fatigue may prevent the body and brain from obtaining sufficient rest. In such cases, dizziness upon closing the eyes might occur. This is considered a normal physiological phenomenon and generally does not require special treatment.

II. Pathological Factors

1. Neurasthenia

Neurasthenia is a neurotic disorder primarily characterized by weakness in brain and bodily functions. When neurasthenia occurs, it can impair sleep quality and easily lead to the aforementioned symptoms. Medications such as oryzanol tablets or Anshen Bunao Liquid may be taken under medical guidance to alleviate symptoms.

2. Cervical Spondylosis

In patients with severe cervical spondylosis, vertebral artery compression due to cervical spine lesions may cause dizziness when closing the eyes during sleep, often accompanied by neck pain. Symptoms may be improved through massage or traction therapy.

Besides the above relatively common causes, other conditions such as hypertension, benign paroxysmal positional vertigo (BPPV), or stroke may also be responsible. If any discomfort occurs, timely medical evaluation and treatment are essential to avoid delays in managing the condition.