A method for prediction functional dizziness after benign paroxysmal positional vertigo

Dyukova, G. M.; Кryukov, A. I.; Makarov, Sergey; Олимпиева, С. П.

doi:10.17116/jnevro2021121051120

Cited by 5 publications

(1 citation statement)

References 33 publications

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“…Based on those data, psychological symptoms were excluded from the criteria for PPPD, in contrast to the definition of phobic postural vertigo where they were included 1 44. A study by Dyukova et al ,45 not included in the review because follow-up was only at 1 month, looked at patients with ongoing dizziness complaints versus those without persistent dizziness after successful BPPV treatment and found that patients with ongoing dizziness were more likely to have a history of premorbid panic attacks (80% vs 29.3%), implying that an anxiety-related predisposition might influence the long-term course of symptom burden. Regarding pre-existing personality traits, cross-sectional investigations found a higher frequency of certain personality traits, such as ‘loyal-dependent’, ‘compulsive’ and ‘schizo-typical’, between patients with PPPD and patients with other vestibular disorders or the general public 18.…”

Section: Discussionmentioning

confidence: 99%

Predictors of persistent postural-perceptual dizziness (PPPD) and similar forms of chronic dizziness precipitated by peripheral vestibular disorders: a systematic review

Trinidade

Cabreira

Goebel

et al. 2023

J Neurol Neurosurg Psychiatry

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BackgroundThe literature on predictors of persistent postural-perceptual dizziness (PPPD) following peripheral vestibular insults has not been systematically reviewed.MethodsWe systematically reviewed studies on predictors of PPPD and its four predecessors (phobic postural vertigo, space-motion discomfort, chronic subjective dizziness and visual vertigo). Investigations focused on new onset chronic dizziness following peripheral vestibular insults, with a minimum follow-up of 3 months. Precipitating events, promoting factors, initial symptoms, physical and psychological comorbidities and results of vestibular testing and neuroimaging were extracted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.ResultsWe identified 13 studies examining predictors of PPPD or PPPD-like chronic dizziness. Anxiety following vestibular injury, dependent personality traits, autonomic arousal and increased body vigilance following precipitating events and visual dependence, but not the severity of initial or subsequent structural vestibular deficits or compensation status, were the most important predictors of chronic dizziness. Disease-related abnormalities of the otolithic organs and semi-circular canals and age-related brain changes seem to be important only in a minority of patients. Data on pre-existing anxiety were mixed.ConclusionsAfter acute vestibular events, psychological and behavioural responses and brain maladaptation are the most likely predictors of PPPD, rather than the severity of changes on vestibular testing. Age-related brain changes appear to have a smaller role and require further study. Premorbid psychiatric comorbidities, other than dependent personality traits, are not relevant for the development of PPPD.

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Section: Discussionmentioning

confidence: 99%

Predictors of persistent postural-perceptual dizziness (PPPD) and similar forms of chronic dizziness precipitated by peripheral vestibular disorders: a systematic review

Trinidade

Cabreira

Goebel

et al. 2023

J Neurol Neurosurg Psychiatry

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Functional dizziness: from diagnostic criteria to clinical profiles and therapy. Expert consensus

Zamergrad,

Parfenov,

Ostroumova

et al. 2024

RJTAO

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Functional dizziness (FD) is the most common form of chronic dizziness, accounting for up to 20% of all cases of chronic dizziness and is diagnosed in 40% of patients referred to specialized clinics. This article discusses the pathogenesis, clinical manifestations and diagnostic features of FD. An overview of standard and new methods of drug therapy and methods of vestibular rehabilitation for patients with FD is provided. Experts conclude that FD, currently defined as persistent postural perceptual dizziness (PPPD), is the most common cause of chronic non-rotational dizziness. PPPD is thought to be multifactorial; central and peripheral vestibular disorders, anxiety disorders and traumatic brain injury are noted as possible precipitating causes. The diagnosis of PPPD is based on the presence of a feeling of unsteadiness or non-rotational dizziness occurring more than half of the days over a period of three months or longer, when other possible causes of dizziness have been ruled out. When managing a patient with PPPD, it is necessary to inform the patient about the nature of the disease, provide a patient with an education program and apply psychotherapy and vestibular rehabilitation methods. The use of buspirone prolonged-release tablets (Vespirate®) and vestibular rehabilitation in clinical practice is discussed.

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Persistent postural-perceptual dizziness as a regulatory dysfunction of the balance system

Mirzaeva,

Voronov,

Demidenko

et al. 2023

HERALD of North-Western State Medical University named after I.

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The problem of chronic functional dizziness is highly relevant nowadays. In case of a great number of patients suffering from persistent postural-perceptual dizziness, lack of a unified understanding of the pathogenesis, diagnostic mistakes, and, as a result, improper treatment lead to a deterioration in the quality of life and disability. The purpose of the review is to analyse and highlight the persistent postural-perceptual dizziness problem, to explore the currently existing pathogenetic concepts, methods of diagnosis and treatment of this group of patients. Domestic and foreign scientific papers have been analysed using the largest world citation databases according to the following keywords: psychogenic dizziness, chronic subjective dizziness, vestibular rehabilitation, stabilometry, persistent postural-perceptual dizziness, postural phobic instability, selective serotonin reuptake inhibitors, cognitive behavioral therapy. The data of 78 scientific works of the research subject are the basis of the review. The article presents a brief historical background, contemporary conceptions of pathogenesis, symptoms and clinical manifestations of persistent postural-perceptual dizziness. The particular attention is given to the diagnostic methods and treatment principles. Relevant questionnaires and diagnostic scales as well as the Barany Society criteria are also considered. A multidisciplinary approach to treatment which allows to achieve a lasting positive effect is described. Segregation of persistent postural-perceptual dizziness into a separate nosological item, understanding of its pathogenesis, an integrated approach to diagnosis with assessment of structural, functional and mental disturbances, just like complex therapeutic strategies make а fully recovery possible.

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A method for prediction functional dizziness after benign paroxysmal positional vertigo

Cited by 5 publications

References 33 publications

Predictors of persistent postural-perceptual dizziness (PPPD) and similar forms of chronic dizziness precipitated by peripheral vestibular disorders: a systematic review

Predictors of persistent postural-perceptual dizziness (PPPD) and similar forms of chronic dizziness precipitated by peripheral vestibular disorders: a systematic review

Functional dizziness: from diagnostic criteria to clinical profiles and therapy. Expert consensus

Persistent postural-perceptual dizziness as a regulatory dysfunction of the balance system

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