Persistent Postural-Perceptual Dizziness

Book
In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.
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Excerpt

The International Classification of Vestibular Disorders (ICVD) described persistent postural-perceptual dizziness (PPPD) in 2017. Symptoms are portrayed as unsteadiness, dizziness, or non-vertiginous dizziness, which are present most days for 90 days or more and exacerbated by positions such as sitting upright, standing, or walking and visually complex stimuli.

The condition is secondary to disruptions in visual processing and postural control mechanisms. It is classified as a chronic vestibular disorder, although there is an association with conditions such as migraine, anxiety, and depression. It is more common in women than men. Imaging and testing are often unremarkable, and treatment is often multimodal, including cognitive-behavioral therapy, physical therapy, and serotonergic medications.

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