@article{ref1,
title="Persistent postural-perceptual dizziness-a systematic review of the literature for the balance specialist",
journal="Otology and neurotology",
year="2018",
author="Trinidade, Aaron and Goebel, Joel A.",
volume="39",
number="10",
pages="1291-1303",
abstract="OBJECTIVE: To present a systematic review of the current data on persistent postural-perceptual dizziness (PPPD), a useful and relatively new diagnosis for a disorder that has previously been known by many different names. In addition, to discuss diagnostic criteria and management strategies for this condition with the otologist in mind. DATA SOURCES: CINAHL, Embase, PubMed, Medline, PsycINFO, PubMed, Google Scholar. REVIEW METHOD: The phrase &quot;persistent postural-perceptual dizziness&quot; and its acronym &quot;PPPD&quot; were used. <br><br>RESULTS: From 318 articles, 15 were selected for full analysis with respect to PPPD. Most were case-control studies, with one consensus paper from the Bárány Society available. Overall, the pathophysiology of PPPD remains relatively poorly understood, but is likely to be a maladaptive state to a variety of insults, including vestibular dysfunction and not a structural or psychiatric one. Cognitive behavioral therapy, vestibular rehabilitation, selective serotonin uptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs) all seem to have a role in its management. <br><br>CONCLUSIONS: PPPD is useful as a diagnosis for those treating dizziness as it helps to define a conglomeration of symptoms that can seem otherwise vague and allows for more structured management plans in those suffering from it.<p /> <p>Language: en</p>",
language="en",
issn="1531-7129",
doi="10.1097/MAO.0000000000002010",
url="http://dx.doi.org/10.1097/MAO.0000000000002010"
}