Persistent postural perceptual dizziness (PPPD)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Persistent postural perceptual dizziness (PPPD). This is a chronic vestibular dysfunction. Fully referenced neurology checklist.

Pathology and epidemiology

  • This is a chronic vestibular dysfunction
  • It results from impaired multi-system sensory processing
  • There is grey matter volume loss on MRI-voxel based morphometry
  • It is more frequent in middle age and in women

Core features

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Associated features

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Provoking factors and triggers

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Diagnostic criteria

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Treatment

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Synonyms

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References

  1. Staab JP, Eckhardt-Henn A, Horii A, et al. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society. J Vestib Res 2017; 27:191-208. 
  2. Popkirov S, Staab JP, Stone J. Persistent postural-perceptual dizziness (PPPD): a common, characteristic and treatable cause of chronic dizziness. Pract Neurol 2018; 18:5-13.
  3. Wurthmann S, Naegel S, Schulte Steinberg B, et al. Cerebral gray matter changes in persistent postural perceptual dizziness. J Psychosom Res 2017; 103:95-101.
  4. Holle D, Schulte-Steinberg B, Wurthmann S, et al. Persistent postural-perceptual dizziness: a matter of higher, central dysfunction? PLoS One 2015; 10:e0142468.
  5. Yan Z, Cui L, Yu T, Liang H, Wang Y, Chen C. Analysis of the characteristics of persistent postural-perceptual dizziness: A clinical-based study in China. Int J Audiol 2017; 56:33-37.
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