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El mareo postural-perceptual persistente: un enfoque práctico para el diagnóstico y la comunicación del paciente

Hüseyin Nezih Özdemir^1,2, Jasmin Charlton¹, Elvira Cortese^1,3

¹SENSE Research Unit, Department of Clinical and Movement Neurosciences, UCL, London, UK.

European journal of neurology

|February 9, 2026

Resumen

Explicar el mareo postural-perceptual persistente (PPPD) es un desafío. Un enfoque de comunicación estructurada mejora la comprensión y la participación del paciente en el manejo de la DPPP.

Área de la Ciencia:

Neurología Neurología.
Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares Trastornos vestibulares
Comunicación con el paciente Comunicación con el paciente

Sus antecedentes:

El diagnóstico de mareo postural-perceptual persistente (PPPD), a pesar de los criterios claros del 2017, presenta desafíos de comunicación.
La explicación efectiva del paciente es crucial para el manejo de esta condición.

Objetivo del estudio:

Esbozar una estrategia de comunicación paso a paso para explicar el diagnóstico, los mecanismos y los tratamientos de la DPPP.
Para proporcionar una visión general de los enfoques actuales de tratamiento de la PPPD.

Principales métodos:

Modelo de consulta adaptado (Cambridge-Calgary) y recomendaciones de trastornos neurológicos funcionales.
Incorporó décadas de experiencia clínica y aportes de los pacientes.
Enfatizó la toma estructurada de la historia clínica, el examen al lado de la cama y la comunicación centrada en el paciente.

Principales resultados:

Se desarrolló un marco clínico práctico para la evaluación y el manejo de la PPPD.
Las estrategias tienen como objetivo mejorar la confianza en el diagnóstico y la participación terapéutica.
El enfoque de comunicación puede influir positivamente en la comprensión y el manejo del paciente.

Conclusiones:

La comunicación efectiva es primordial para el diagnóstico y el manejo exitosos de PPPD.
El enfoque clínico propuesto puede moldear la comprensión del paciente y la trayectoria del tratamiento.
Las estrategias de comunicación centradas en el paciente son esenciales para mejorar los resultados en la DPPP.

Palabras clave:

El PPPDD es el PPPD.El diagnóstico diagnóstico diagnóstico diagnóstico.atención centrada en el paciente.Persistencia de mareos posturales persistentes y mareos perceptivos.El vestibular es el vestibular.

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