<s>[INST] I have recently had many dizzy spells. When I move my eyes quickly. I have pressure discomfort on the top of my head and I feel like I m straining my eyes even w my glasses. My balance feels off when I get the dizzy spells. Could this be neurological? [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are wondering if dizzy spells be neurological. Well there can be many reasons for symptoms you mention in query like benign paroxysmal positional vertigo (BPPV), viral infection of the vestibular nerve, deniers disease, migraine, neurological conditions like Parkinson disease and multiple sclerosis. Alteration in blood pressure can also cause dizziness. I would suggest you to first consult ENT specialist for ear problem. Doctor may order CT scan, MRI, rotatory chair test or balance test. Doctor may prescribe antibiotics like gentamicin, anti-inflammatory, antiemetic Chat Doctor.  Doctor may also refer you to neurologist for neurological problem. Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>