[Persistent postural perceptual dizziness of the elderly].

Area of Science:

• Neurology
• Vestibular Science

Background:

• Persistent postural perceptual dizziness (PPPD) is a prevalent condition causing chronic dizziness and unsteadiness.
• Symptoms can be triggered by vestibular events, somatic disturbances, or panic attacks.
• Standard instrumental examinations often fail to identify objective abnormalities explaining the subjective sensations.

Purpose of the Study:

• To outline the diagnostic criteria for PPPD.
• To describe the multifaceted treatment approaches for PPPD.

Main Methods:

• Diagnosis based on the International Barani Society's criteria.
• Review of current treatment modalities.

Main Results:

• PPPD is characterized by a persistent, non-rotatory dizziness or unsteadiness.
• Diagnosis is clinical, relying on established criteria.
• Effective treatment involves a combination of therapies.

Conclusions:

• PPPD is a distinct clinical entity requiring specific diagnostic criteria.
• Multimodal treatment including psychotherapy, pharmacotherapy, and vestibular rehabilitation is essential for managing PPPD.