Vestibular Symptoms, Panic, and Phobia

Jacob, Rolf G.; Furman, Joseph M.; Clark, Duncan B.; Durrant, John D.

doi:10.3109/10401239209149567

Cited by 44 publications

(1 citation statement)

References 49 publications

(22 reference statements)

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“…Although PPPD is a relatively new disorder, syndromes presenting as dizziness provoked by motion or visually stimulating environments have been described in the medical literature as early as the 1870s (3,4). Contemporary predecessors to PPPD include phobic postural vertigo (5,6), chronic subjective dizziness (7,8), visual vertigo (9), and space-motion discomfort (10,11). PPPD is a unifying term, based upon key features of these previously-described syndromes.…”

mentioning

confidence: 99%

Persistent Postural-Perceptual Dizziness in Children and Adolescents

Wang

Fleischman

Kawai

et al. 2021

Otology &Amp; Neurotology

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Objective: Persistent postural-perceptual dizziness (PPPD) is a recently defined diagnostic syndrome characterized by chronic symptoms of dizziness, unsteadiness, and/or nonspinning vertigo. Although PPPD has been studied in adults, reports in the pediatric population are few. The goal of this study was to describe the presentation and treatment of PPPD in a group of pediatric patients. Study Design: Retrospective chart review. Setting: Tertiary referral center. Patients: 21 years old, who met Ba ´ra ´ny Society consensus criteria for a diagnosis of PPPD and were followed for !6 months or until symptom resolution. Main Outcome Measures(s): Patient demographics, comorbidities, symptom chronicity, and response to treatment(s). Results: Of the 53 patients identified, 44 (83.0%) were women. Mean age at the time of initial evaluation was 14.6 years old. Common diagnoses in addition to PPPD included benign paroxysmal positional vertigo (64.2%), vestibular migraine (56.6%), and anxiety (28.3%). A high proportion of patients (43.4%) reported initially missing school or work due to their symptoms. Eighteen patients (34.0%) reported symptom resolution ranging from 2 to 48 months after diagnosis (median 9 mo). Of these patients, 15 of 18 attended physical therapy (PT), 11 of 18 attended cognitive behavioral therapy (CBT) and/or biofeedback therapy, and 10 of 18 took selective serotonin reuptake inhibitor (SSRI) medications, and 7 of 18 (40%) did a combination of all three therapies. Conclusion: PPPD can impact patients at a young age, and prolonged symptoms present a significant burden to children and adolescents, many of whom are unable to attend school. Treatments such as PT, CBT, and SSRI medication may be effective.

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