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Mal de débarquement syndrome
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
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.
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.
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