Who is at risk for ongoing dizziness and psychological strain after a vestibular disorder?

Best, C.; Tschan, Regine; Eckhardt-Henn, Annegret; Dieterich, Marianne

doi:10.1016/j.neuroscience.2009.09.034

Cited by 105 publications

(79 citation statements)

References 42 publications

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“…These investigations found PPPD-like chronic dizziness [7,28,30] or persistent VV [23] in about 25% of patients after 3-12 months of follow-up, despite otherwise adequate compensation or recovery from the initial illnesses. These results indicate that PPPD is likely to develop in a significant proportion of patients afflicted with acute or episodic vestibular syndromes.…”

Section: Estimates Of the Incidence Of Pppdmentioning

confidence: 95%

“…No epidemiologic studies are available for PPPD, but its prevalence and incidence may be estimated from research done on patients with PPV, VV, CSD, and chronic dizziness following acute vestibular syndromes [7,12,23,28,30,79].…”

Section: Epidemiologymentioning

confidence: 99%

“…The incidence of PPPD following neuro-otologic precipitants may be estimated from studies that followed patients prospectively after bouts of acute or episodic vestibular disorders (e.g., vestibular neuritis, BPPV, vestibular migraine, Menière's disease) [7,23,28,30]. These investigations found PPPD-like chronic dizziness [7,28,30] or persistent VV [23] in about 25% of patients after 3-12 months of follow-up, despite otherwise adequate compensation or recovery from the initial illnesses.…”

Section: Estimates Of the Incidence Of Pppdmentioning

confidence: 99%

“…Investigators studying PPV, CSD, SMD, and VV have identified pathophysiologic processes that may be applicable to PPPD, including anxiety-related personality traits as a possible risk factor [86,88,89] and high levels of anxiety and vigilance about acute symptoms during precipitating events as initial pathologic responses [7,23,28,30]. Alterations in postural control strategies [33,46,59,67,68,71], shifts in multi-sensory integration [23], and reduced cortical integration of spatial orientation and threat assessment networks [37,88] may be sustaining mechanisms.…”

Section: Possible Pathophysiologic Processes Underlying Pppdmentioning

confidence: 99%

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Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

558

571

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Abstract. This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic criteria were derived by expert consensus from an exhaustive review of 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. PPPD manifests with one or more symptoms of dizziness, unsteadiness, or non-spinning vertigo that are present on most days for three months or more and are exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. PPPD may be precipitated by conditions that disrupt balance or cause vertigo, unsteadiness, or dizziness, including peripheral or central vestibular disorders, other medical illnesses, or psychological distress. PPPD may be present alone or co-exist with other conditions. Possible subtypes await future identification and validation. The pathophysiologic processes underlying PPPD are not fully known. Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and threat assessment. Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.

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Section: Estimates Of the Incidence Of Pppdmentioning

confidence: 95%

Section: Epidemiologymentioning

confidence: 99%

Section: Estimates Of the Incidence Of Pppdmentioning

confidence: 99%

Section: Possible Pathophysiologic Processes Underlying Pppdmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

558

571

View full text Add to dashboard Cite

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“…Vestibuler bozukluklar ve psikiyatrik bozukluklar arasındaki bağlantı çift yönlü olarak tanımlanmıştır: Vestibuler bozukluklar psikiyatrik bozukluklara neden olabildiği gibi, psikiyatrik bozukluklar da baş dönmesine yol açabilir. 26 Bazı araş- Sonuç olarak; baş dönmesi şikayeti olan hastalarda bir süre sonra eşlik eden anksiyete bozuklukları kronikleşmekte ve bunun sonucunda baş dönmesinin sıklığı da artmaktadır. Hastanede geçirilen zamanın artması ise hayat kalitesinde bozulmaya yol açmaktadır.…”

Section: Discussionunclassified

The Relationship Between Benign Paroxysmal Positional Vertigo and Anxiety

Gül¹,

Özkırış²,

Aydın³

et al. 2014

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Baş dönmesi ve anksiyete arasındaki birliktelik antik çağda Plato'nun çalışmalarından bu yana tıbbi literatürde oldukça sık karşılaşılan bir konudur. Klasik tıpta, baş dönmesi kendi başına bir hastalık olma ve hipokondrial melankoli gibi ayrı bir hastalığın bir belirtisi arasında belirsiz bir durumdaydı. Bizim çalışmamızın amacı baş dönmesi ve anksiyete arasındaki ilişkiyi araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bozok Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalık-ları Polikliniği'ne akut baş dönmesi şikâyeti ile başvuran ve benign paroksismal pozisyonel vertigo (BPPV) tanısı alan hastalar arasından 50 gönüllüye psikiyatri kliniğinde kanalit repozisyon tedavisinden (Epley Manevrası) önce ve 4 hafta sonra olmak üzere Anksiyete Duyarlılık indeksi (ADİ-3), Durumluk-Sürekli Kaygı Envanteri 1 (STAI-1) ve 2 (STAI-2) uygulandı ve elde edilen değerler istatistiksel olarak karşılaştırıldı. B Bu ul lg gu ul la ar r: : Tedavi öncesi uygulanan ADİ-3, STAI-1 ve STAI-2 ölçek-lerinden alınan puanlar literatürle uyumlu bir şekilde orta derecede anksiyeteyi göstermekteydi. Hastalara uygulanan tedaviden (Epley Manevrası) sonra uygulanan ADİ-3 ve STAI-2 puanları istatistiksel olarak anlamlı bir şekilde düştü. Ancak anlık kaygıyı gösteren STAI-1 puanlarında herhangi bir anlamlı değişiklik bulunamadı. S So on nu uç ç: : Elde ettiğimiz sonuçların teyit ettiği üzere, BPPV olgularında kanalit repozisyon manevrası sonrası ADİ-3 ve STAI-2 değerlerinde anlamlı bir dü-zelme olmasına karşın STAI-1 değerlerinde düzelme saptanamaması, bu hastaların tedavi planlamasında kulak burun boğaz hastalıkları ve psikiyatri kliniklerinin ortaklaşa çalışmasının gerektiğiniortaya koymuştur.A An na ah ht ta ar r K Ke el li im me el le er r: : Anksiyete; baş dönmesi; tedavi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Since Plato's ancient works, the association between vertigo and anxiety is a common issue found in the medical literature. Vertigo has an uncertain position in the classical medicine; being a unique illness or a symptom of an another illness such as hypocondriacal melancholy. Our study aimed to examine the relationship between vertigo and anxiety. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Fifty patients who admitted to Otolaryngology Department, Bozok University School of Medicine with vertigo complaint, and diagnosed with benign paroxysmal positional vertigo (BPPV) were included in the study. The patients were instructed to fill out the standard forms of anxiety sensitivity index-3 (ASI-3), Stait-trait anxiety inventory I and II (STAI-I, STAI-II) before and 4 weeks after the canalith repositioning treatment (Epley maneuver). The results were compared statistically. R Re es su ul lt ts s: : The pre-treatment results showed moderate level anxiety severity in ASI-3, STAI-I and STAI-II. Four weeks after Epley maneuver, we noted a statistically significant decrease in ADI-3 and STAI-II scores while STAI-I scores did not significantly change, indicating a...

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Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

et al. 2020

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Objective To assess the efficacy of the various therapies used for the prevention of vestibular migraine (VM). Methods Primary studies were identified though PubMed, Scopus, PsycINFO, and Cochrane Library by two independent investigators for articles published through April 2019. The search identified randomized comparison or observational studies pertaining to vestibular migraine treatment. Meta‐analysis was performed on pre‐ and posttreatment Dizziness Handicap Inventory, vertigo frequency, and percentage of perceived improvement. Results Literature search identified 13 studies that reported sufficient outcome measures to be included in the analysis. Patients with VM had a mean age of 43.3 years with female‐to‐male gender ratio of 2.1:1. Classes of therapeutic agents included antiepileptic drugs, calcium channel blockers, tricyclic antidepressants, β‐blockers, serotonin and norepinephrine reuptake inhibitors, and vestibular rehabilitation. All treatment options that were analyzed demonstrated improvement in all of the outcome parameters, but due to significant heterogeneity and lack of standardized reporting on outcomes, establishment of preferred treatment modality could not be determined. Conclusions Various treatment modalities have been evaluated for preventative treatment of VM. Physician familiarity, patient comorbidities, and the side‐effect profiles of various interventions likely influence the selection of intervention. Future randomized controlled trials with restrictive inclusion criteria and generalizable standardized outcome measures will allow for more robust meta‐analyses and for more evidence‐based treatment of vestibular migraines. Laryngoscope, 131:186–194, 2021

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Who is at risk for ongoing dizziness and psychological strain after a vestibular disorder?

Cited by 105 publications

References 42 publications

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

The Relationship Between Benign Paroxysmal Positional Vertigo and Anxiety

Treatment of Vestibular Migraine: A Systematic Review and Meta‐analysis

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