Treatment of Persistent Postural-Perceptual Dizziness (PPPD)

This article aims to review available and emerging treatment strategies for this prevalent functional neurological disorder and provides practical recommendations for personalising therapy.Recent FindingsAs our knowledge of the underlying causes of PPPD continues to grow, evidence for the best treatment approach is still limited but accumulating. Vestibular rehabilitation, cognitive-behavioural therapy (CBT), and serotonin reuptake inhibitors, alone or in combination, can be beneficial with similar treatment effects in reducing dizziness handicap scores. Newer treatments that have been explored include self-help programmes of vestibular exercises, virtual reality, and electrical stimulation therapies.SummaryFor individuals with PPPD, vestibular rehabilitation, CBT, and medication, and ideally for many patients a combination of more than one of these, can assist in breaking a cycle of maladaptive balance control that reinforces patient symptoms. Further evidence from larger randomised controlled studies with longer follow-up periods is needed.
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research