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Persistent Postural-Perceptual Dizziness (PPPD): A Common, Characteristic and Treatable Cause of Chronic Dizziness
Pract Neurol 18:5-13, Popkirov, S.,et al, 2018
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Article Abstract
Persistent postural-perceptual dizziness (PPPD) is a newly defined diagnostic syndrome that unifies key features of chronic subjective dizziness, phobic postural vertigo and related disorders. It describes a common chronic dysfunction of the vestibular system and brain that produces persistent dizziness, non-spinning vertigo and/or unsteadiness. Patients often develop secondary functional gait disorder, anxiety, avoidance behavior and severe disability. Once recognized, PPPD can be managed with effective communication and tailored treatment strategies, including specialized physical therapy (vestibular rehabilitation), serotonergic medications and cognitive-behavioural therapy.
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behavior modification
conversion reaction
diagnostic criteria
episodic disorders
gait disorder
movement disorder,psychogenic
neurologic disease,diagnoses of
pathologic reflex
patient information and support
Persistent postural-perceptual dizziness
precipitating factors
selective serotonin reuptake inhibitors
serotonin norepinephrine reuptake inhibitors
treatment of neurologic disorder

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