Persistent postural-perceptual dizziness: precipitating conditions, co-morbidities and treatment with cognitive behavioral therapy

John Waterston*, Luke Chen, Kate Mahony, Jamila Gencarelli, Geoff Stuart

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    32 Citations (Scopus)
    118 Downloads (Pure)

    Abstract

    Persistent postural perceptual dizziness (PPPD) is a common chronic vestibular disorder characterized by persistent vestibular symptoms, including postural instability and non-spinning vertigo, which is aggravated by motion, upright posture and moving or complex visual stimuli. In our review of 198 cases seen over a 5 year period, we have confirmed a number of common precipitating conditions for PPPD, including anxiety disorders and vestibular migraine. Vestibular abnormalities, including a unilateral loss of vestibular hypofunction and isolated otolith abnormalities, were found on investigation in just under half the cases. The use of cognitive behavioral therapy (CBT) as a treatment for PPPD resulted in impressive reductions in anxiety and measures of dizziness over follow up periods of up to 6 months.

    Original languageEnglish
    Article number795516
    Pages (from-to)1-6
    Number of pages6
    JournalFrontiers in Neurology
    Volume12
    DOIs
    Publication statusPublished - 24 Dec 2021

    Bibliographical note

    Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

    Keywords

    • persistent postural perceptual dizziness (PPPD)
    • cognitive behavioral therapy (CBT)
    • dizziness
    • treatment
    • investigations

    Fingerprint

    Dive into the research topics of 'Persistent postural-perceptual dizziness: precipitating conditions, co-morbidities and treatment with cognitive behavioral therapy'. Together they form a unique fingerprint.

    Cite this