Phobic postural vertigo: a first follow-up

J Neurol. 1994 Feb;241(4):191-5. doi: 10.1007/BF00863767.

Abstract

Seventy-eight patients with phobic postural vertigo (PPV) and 17 patients with psychogenic disorder of stance and gait (PSG) were asked to evaluate their condition 6 months to 5.5 years after their original referral and short-term psychotherapy. Two results seem most important: (1) PPV had a favorable course with a 72% improvement rate (22% of patients becoming symptom free), whereas the majority of patients with PSG (52%) remained unchanged; (2) the majority of patients with PPV experienced complete remission or considerable improvement even if their condition had lasted between 1 and 20 years prior to diagnosis. Complete remission of PSG was observed only if the disorder has been present less than 4 months; there was no improvement if it had lasted longer than 2 years. PPV can be defined as a distinct clinical entity with a relatively benign course. It can be reliably diagnosed on the basis of typical features.

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Gait
  • Humans
  • Male
  • Middle Aged
  • Phobic Disorders / complications*
  • Phobic Disorders / diagnosis
  • Phobic Disorders / therapy
  • Posture*
  • Psychotherapy
  • Remission Induction
  • Treatment Outcome
  • Vertigo / etiology*