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Updated: Mar 15, 2026

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Mal de débarquement syndrome.

T C Hain1, M Cherchi2

  • 1Chicago Dizziness and Hearing and Department of Physical therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.

Handbook of Clinical Neurology
|September 18, 2016
PubMed
Summary

Mal de débarquement syndrome (MdDS) causes a persistent rocking sensation after voyages, primarily affecting middle-aged women. Symptoms differ from other dizziness, often improving with re-exposure to motion.

Keywords:
mal de débarquementmigrainemotion sicknessrocking

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Area of Science:

  • Neurology
  • Vestibular Science

Background:

  • Mal de débarquement syndrome (MdDS) is characterized by a prolonged rocking sensation following motion exposure, typically sea voyages.
  • This condition predominantly affects middle-aged women (80%) and is associated with increased migraine frequency.

Purpose of the Study:

  • To summarize the key features, diagnostic distinctions, and treatment challenges of Mal de débarquement syndrome.
  • To highlight the unique characteristics of MdDS compared to other vestibular disorders and motion sickness.

Main Methods:

  • Review of existing literature on Mal de débarquement syndrome.
  • Analysis of symptom duration, patient demographics, and response to various treatments.

Main Results:

  • MdDS symptoms persist for a month or longer, distinguishing it from transient land-sickness.
  • Unlike typical vestibular issues, MdDS symptoms may improve with re-exposure to motion.
  • Standard vestibular suppressants are largely ineffective for MdDS.

Conclusions:

  • MdDS is a distinct condition with prolonged symptoms, differentiated by its response to motion re-exposure.
  • Effective treatments remain limited, with benzodiazepines offering some relief but carrying addiction risks.
  • Ongoing research explores novel treatments like visual habituation and transcranial magnetic stimulation.