Persistent Dizziness – Central, Peripheral or Psychogenic?
Persistent Postural-Perceptual Dizziness (PPPD) is the dizziness that lasts for over three months with no clinical explanation for its persistence. Most of these patients are menopausal female with migraines that manifest significant anxiety.
PPPD is a relatively new diagnosis that involves the vestibular-thalamic pathways, responsible for body movement awareness. This disease is at the interface between otoneurologic and psychiatry, with the patient who has normal vestibular reflexes. The investigation of timing, symptom characteristics, associated symptoms, underlying diseases, and screening by psychogenic inventories is critical in diagnosis and treatment of these cases.
Thank you for continuing to let us be a part of your comprehensive, multidisciplinary approach to care. As Lincoln’s Center of Specialty Care for Balance, we look forward to helping your dizzy patients find answers and a plan of care.