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. 2023 Feb 15;19(814):334-337.
doi: 10.53738/REVMED.2023.19.814.334.

[Persistent Postural-Perceptual Dizziness (PPPD) - A clinical case and essentials for the primary care medicine]

[Article in French]
Sonia Aslan  1 , Konstantinos Tzartzas  1 , Olivier Merrot  2 , Bernard Favrat  1 , Raphaël Maire  3 , Ioannis Kokkinakis  1
Affiliations

[Persistent Postural-Perceptual Dizziness (PPPD) - A clinical case and essentials for the primary care medicine]

[Article in French]
Sonia Aslan et al. Rev Med Suisse. .

Abstract
in English, French

Persistent Postural-Perceptual Dizziness (PPPD) is a chronic functional disorder that manifests with symptoms of dizziness, unsteadiness or non-spinning vertigo that lasts for at least three months. These symptoms are exacerbated by upright posture, active or passive motion, and exposure to complex or moving visual stimuli. This -pathology has been known for a long time ago. Still, after an expert's consensus in 2017, this term was born, and some precise diagnostic criteria have been defined based on identifying key symptoms in the patient's clinical history. Treatment is multimodal, incorporating -vestibular rehabilitation, cognitive-behavior therapy, and serotonergic medication.

Les VPPP ou vertiges posturaux-perceptuels persistants (Persistent Postural-Perceptual Dizziness (PPPD)) sont une pathologie fonctionnelle chronique, caractérisée par une sensation de déséquilibre, d’instabilité ou de vertige non rotatoire. Les symptômes peuvent être exacerbés par la position debout, la mobilisation active ou passive et l’exposition à des stimuli visuels complexes ou en mouvement. Si la pathologie est connue de longue date, c’est suite à un consensus d’experts qu’est né ce terme en 2017, et que des critères diagnostiques clairs ont été définis, qui se basent sur l’identification de symptômes clés dans l’histoire ­clinique du patient. Le traitement est multimodal, ­comprenant une réhabilitation vestibulaire, des thérapies cognitivo-comportementales et une médication sérotoninergique.

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Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

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