Persistent postural perceptual dizziness (PPPD)
Which are the symptoms?
The main symptom is the presence of unsteadiness for most of the day for 3 consecutive months. The symptoms increase with active and/or passive body movements and tend to decrease when lying down.
· Persistent unsteadiness
How is it diagnosed?
Diagnosis is anamnestic and involves a careful collection of clinical and symptomatic anamnesis. Special questionnaires are used. A complete vestibular examination, which is important in the diagnostic process, is used to exclude other pathological conditions causing the symptoms.
· Collecting medical history
· Vestibular assessment
How is it treated?
To date, the main treatment includes a pharmacological approach using the selective serotonin reuptake inhibitors (SSRI) and mood stabilising drugs, in addition to vestibular rehabilitation and cognitive-behavioural therapy.