1. Understanding Cortical Atrophy

   • Cortical atrophy refers to the progressive loss or shrinkage of brain tissue in the cortex, which can impair brain functions such as memory, movement, and coordination.

2. General Treatment Approaches

   • There is no cure for cortical atrophy, but treatment focuses on managing symptoms and slowing progression. Controlling underlying conditions like hypertension is crucial to prevent further brain damage.

3. Specific Treatments and Medications

   • Medications such as cholinesterase inhibitors (e.g., Donepezil) and Memantine may be prescribed to help improve cognitive symptoms, especially if related to Alzheimer’s disease. Lifestyle changes, including a healthy diet, regular exercise, and cognitive therapies, can support brain health.

4. Addressing Acute Symptoms (Dizziness and Vomiting)

   • Dizziness and vomiting, especially with a history of hypertension, require urgent evaluation to rule out serious causes like stroke or other neurological emergencies. These symptoms should not be ignored.

5. Recommended Medical Specialties and Diagnostic Tests

   • A neurologist should be consulted promptly for a thorough assessment. Diagnostic tests may include MRI (Magnetic Resonance Imaging) of the brain, blood pressure monitoring, and blood tests to identify any acute issues or complications.

6. Supportive Care and Monitoring

   • Continuous monitoring of neurological status and blood pressure is important. Rehabilitation therapies such as physiotherapy or occupational therapy may be recommended to maintain function and quality of life.

7. When to Seek Emergency Care

   • Immediate hospital care is necessary if symptoms worsen, such as sudden weakness, confusion, severe headache, loss of consciousness, or persistent vomiting.

Given the acute symptoms and medical history, it is strongly advised to seek urgent evaluation by a neurologist or visit an emergency department to ensure appropriate diagnosis and treatment. If symptoms escalate, do not hesitate to call emergency services.To narrow down potential causes, we will need some more information.Please enter your age.