Phobic postural vertigo: A long-term follow–up (5 to 15 years) of 106 patients

Huppert, D.; Strupp, M.; Rettinger, N.; Hecht, J.; Brandt, T.

doi:10.1007/s00415-005-0699-x

Cited by 118Psychosomatic Disorders and Their TreatmentsVestibular and auditory disordersCardiovascular Syncope and Autonomic Disorders

Phobic postural vertigo: A long-term follow–up (5 to 15 years) of 106 patients

Huppert, D., Strupp, M., Rettinger, N., Hecht, J., Brandt, T.·2005·Journal of Neurology

DOI 10.1007/s00415-005-0699-x

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Abstract

One hundred and six patients diagnosed between 1987 and 1998 to have somatoform phobic postural vertigo were examined in a follow-up study with a self-evaluating questionnaire. The improvement rate after a mean follow-up time of 8.5 years (5 to 15.9 years) was 75% (27% of the patients reported a complete remission). While the majority of these patients experienced improvement or remission during the first year after assessment of diagnosis and a short-term psychotherapeutic approach, some patients also had considerable improvement even after two or more years. There was a negative correlation between the duration of the condition before assessment of the diagnosis and the improvement/regression rate. The improvement/regression rate was independent of gender, age, preceding vestibular or non-vestibular organic disorders, and the various medical, physical, or psychotherapeutic interventions. Transient relapses occurred in 47% of the improved patients once or repeatedly. The probability of developing a relapse remained constant throughout the entire follow-up. None of the patients required a revision of the initial diagnosis on the basis of the questionnaire.

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A long-term follow-up study of patients with PPV found that only a minority experienced spontaneous resolution of symptoms.
“A long-term follow-up study of patients with PPV found that only a minority experienced spontaneous resolution of symptoms [36].”
From Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society (2017) · cites this paper as [36]

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Authors: Huppert, D., Strupp, M., Rettinger, N., Hecht, J., & Brandt, T.
Affiliations: Ludwig-Maximilians-Universität München (DE)
Corresponding author: Brandt, T.
ORCID: Huppert, D.
Strupp, M.
Brandt, T.
Venue: Journal of Neurology
Publisher: Springer Science and Business Media LLC
Published: 2005-03-04
Volume: 252
Issue: 5
Pages: 564-569
ISSN: 0012-1037 (ISSN-L)
0340-5354
1432-1459
DOI: 10.1007/s00415-005-0699-x
OpenAlex: W1587571431
Cited by: 118
References: 29
Citations by year: 2026: 4 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 3 · 2018: 11 · 2017: 7 · 2016: 9 · 2015: 3 · 2014: 6 · 2013: 4 · 2012: 6
FWCI: 2.61
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Neurology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
Keywords: phobic postural vertigo, psychogenic vertigo, remission, relapse, disease duration, psychotherapy, follow-up study
MeSH terms: Adolescent, Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phobic Disorders, Surveys and Questionnaires, Retrospective Studies, Vertigo

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Phobic postural vertigo: A long-term follow–up (5 to 15 years) of 106 patients

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