Mal de Debarquement

Hain, Timothy C.; Hanna, Philip A.; Rheinberger, Mary A.

doi:10.1001/archotol.125.6.615

Cited by 96 publications

(107 citation statements)

References 10 publications

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“…Only 1 of 27 responders to Hain's [7] study and none of Mair's 10 patients were men [14], compared to 16 of 64 (25 %) patients in our series. This proportion was even higher in those with MdD episodes lasting more than 2 years (44 %).…”

Section: Discussionmentioning

confidence: 56%

“…Most cases of MdD reported occurred following cruises, but exposure to other forms of passive motion has also been described [12,14]. Hain reported the largest case series to date in which 27 individuals with symptoms longer than one month underwent a questionnaire survey [7]. These patients did not undergo a neurological exam or vestibular testing; however other reports indicate that neurological exams and vestibular function testing is generally normal in patients with MdD [3,14].…”

Section: Introductionmentioning

confidence: 99%

“…These patients did not undergo a neurological exam or vestibular testing; however other reports indicate that neurological exams and vestibular function testing is generally normal in patients with MdD [3,14]. Most studies also report a female predominance and frequent symptom duration of longer than one year [3,7,14].…”

Section: Introductionmentioning

confidence: 99%

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Clinical features and associated syndromes of mal de debarquement

et al. 2008

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Objective-To investigate the clinical features and natural history of mal de debarquement (MdD).Design-Retrospective case review with follow-up questionnaire and telephone interviews. Setting-University Neurotology Clinic.Patients-Patients seen between 1980 and 2006 who developed a persistent sensation of rocking or swaying for at least 3 days after exposure to passive motion.Main outcome measure-Clinical features, diagnostic testing, and questionnaire responses.Results-Of 64 patients (75 % women) identified with MdD, 34 completed follow-up questionnaires and interviews in 2006. Most patients had normal neurological exams, ENGs and brain MRIs. The average age of the first MdD episode was 39 ± 13 years. A total of 206 episodes were experienced by 64 patients. Of these, 104 episodes (51 %) lasted > 1 month; 18 %, > 1 year; 15 %, > 2 years; 12 %, > 4 years, and 11 %, > 5 years. Eighteen patients (28 %) subsequently developed spontaneous episodes of MdD-like symptoms after the initial MdD episode. There was a much higher rate of migraine in patients who went on to develop spontaneous episodes (73 %) than in those who did not (22 %). Subsequent episodes were longer than earlier ones in most patients who had multiple episodes. Re-exposure to passive motion temporarily decreased symptoms in most patients (66 %). Subjective intolerance to visual motion increased (10 % to 66 %) but self-motion sensitivity did not (37 % to 50 %) with onset of MdD.Conclusion-The majority of MdD episodes lasting longer than 3 days resolve in less than one year but the probability of resolution declines each year. Many patients experience multiple MdD episodes. Some patients develop spontaneous episodes after the initial motion-triggered episode with migraine being a risk factor.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

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Clinical features and associated syndromes of mal de debarquement

et al. 2008

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“…This appears to be explained by the neural adaptation to the movement in the virtual environment as a post-play after-effect usually related to motion sickness. Perceiving the sensation of motion after being exposed to passive motion typically occurs after traveling on specific vehicles (e.g., boats) and is related to land sickness, post-motion vertigo, and disembarking sickness that can last up to 48 hours (Hain, Hanna, & Rheinberger, 1999). In previous studies, gamers reported feeling their bodies moving when lying in bed after playing (Ortiz de Gortari & Griffiths, 2014a).…”

Section: Altered Body Perceptionsmentioning

confidence: 99%

Prevalence and Characteristics of Game Transfer Phenomena: A Descriptive Survey Study

Gortari

Griffiths

2016

International Journal of Human-Computer Interaction

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Previous qualitative studies suggest that gamers experience Game Transfer Phenomena (GTP), a variety of non-volitional phenomena related to playing videogames including thoughts, urges, images, sounds when not playing. To investigate (i) which types of GTP were more common and (ii) their general characteristics, the present study surveyed a total of 2,362 gamers via an online survey. The majority of the participants were male, students, aged between 18 and 27 years, and 'hard-core' gamers. Most participants reported having experienced at least one type of GTP at some point (96.6%), the majority having experienced GTP more than once with many reporting 6 to 10 different types of GTP. Results demonstrated that videogame players experienced (i) altered visual perceptions (ii) altered auditory perceptions (iii) altered body perceptions (iv) automated mental processes, and (v) behaviors. In most cases, GTP could not be explained by being under the influence of a psychoactive substance. The GTP experiences were usually shortlived, tended to occur after videogame playing rather than during play, occurred recurrently, and usually occurred while doing day-to-day activities. One in five gamers had experienced some A c c e p t e d M a n u s c r i p t 2 type of distress or dysfunction due to GTP. Many experienced GTP as pleasant and some wanted GTP to happen again.

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“…In most cases, the postural complaints subside a few hours after disembarking [86]. However, there are descriptions in the literature of persistent mal de debarquement, lasting from months to years and resistant to anti-motion sickness medications [87,88]. Mal de debarquement may be explained within the framework of multisensorimotor adaptation and habituation to a new or abnormal motion environment.…”

Section: Motion Sickness and Mal De Debarquementmentioning

confidence: 99%

The Role of Vestibular Testing in the Evaluation of Patients Engaged in Occupations in Non-Terrestrial Conditions

Shupak¹,

Gordon²,

Nachum³

2001

Otorhinolaryngol Nova

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Persons engaged in special occupations rely heavily on the vestibular system for spatial orientation under non-terrestrial conditions. These include professional divers, aircraft pilots, and seamen. Vestibular symptoms in these populations might result from the entire known spectrum of inner ear diseases. In addition, disequilibrium, vertigo, hearing loss and autonomic symptoms might stem from the specific conditions to which such individuals are exposed. Inner ear barotrauma, inner ear decompression sickness, motion sickness, and mal de debarquement are discussed with special reference to the use of various vestibular function tests for patient diagnosis and management. Professional divers and aircraft pilots may be subjected to rapid and large changes in ambient pressure with increased risk to previously damaged vestibular and cochlear systems. Spatial disorientation and acute vertigo represent a life-threatening hazard, not only for the submersed diver and the pilot flying a sophisticated aircraft, but also for other people dependent on their abilities, such as diving companions or airline passengers. On the other hand, significant consideration should be given to the high investment on the part of the individual and society in such highly professional careers. The role of vestibular testing in the evaluation and follow-up of such patients and the decision about compatibility with a highly demanding profession are discussed.

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Mal de Debarquement

Abstract: More than double the number of previously reported cases of mal de debarquement syndrome were identified by this study. The syndrome usually occurs in middle-aged women following an ocean cruise. Symptoms are often refractory to vestibular suppressants as well as physical therapy.

Cited by 96 publications

References 10 publications

Clinical features and associated syndromes of mal de debarquement

Clinical features and associated syndromes of mal de debarquement

Prevalence and Characteristics of Game Transfer Phenomena: A Descriptive Survey Study

The Role of Vestibular Testing in the Evaluation of Patients Engaged in Occupations in Non-Terrestrial Conditions

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