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Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment With Cognitive
John Waterston1,2, Luke Chen1,2, Kate Mahony3
1Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.
Frontiers in Neurology
|January 14, 2022
Summary
Persistent postural perceptual dizziness (PPPD) is a chronic vestibular disorder. Cognitive behavioral therapy (CBT) effectively reduced anxiety and dizziness symptoms in patients with PPPD.
Area of Science:
- Neurology
- Otolaryngology
- Psychiatry
Background:
- Persistent postural perceptual dizziness (PPPD) is a common chronic vestibular disorder.
- Symptoms include postural instability and non-spinning vertigo, exacerbated by motion, posture, and visual stimuli.
Purpose of the Study:
- To identify common precipitating conditions for PPPD.
- To evaluate the effectiveness of cognitive behavioral therapy (CBT) in treating PPPD.
Main Methods:
- Retrospective review of 198 PPPD cases over 5 years.
- Investigation of vestibular abnormalities.
- Assessment of CBT treatment outcomes.
Main Results:
- Anxiety disorders and vestibular migraine were common precipitating conditions.
- Vestibular abnormalities were found in nearly half of the cases.
- CBT led to significant reductions in anxiety and dizziness symptoms within 6 months.
Conclusions:
- PPPD has identifiable precipitating factors.
- CBT is an effective treatment for reducing anxiety and dizziness in PPPD patients.
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