The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
Phobic Postural Vertigo
Abstract
Phobic postural vertigo (PPV) (Brandt and Dieterich 1986; Brandt 1996) has been described as a syndrome that is distinguishable from panic disorder, agoraphobia, and the pseudo-agoraphobia syndrome “space phobia” (Marks 1981). Since we began diagnosing it as a clinical entity, PPV has become the second-most common cause of vertigo in our dizziness unit (p. 23). Closely connected with gait and posture, PPV is characterised by a combination of non-rotational vertigo with subjective postural imbalance and unsteadiness, normal neuro-otological tests, and phobic avoidance behaviour mainly in patients with an obsessive-compulsive personality. The monosymptomatic subjective disturbance of balance manifests with superimposed attacks that occur with and without recognisable provoking factors in one and the same patient. The patient experiences them with and without accompanying excess anxiety, misleading both patient and physician to make a false diagnosis of organic disease. Although an association of PPV with anxiety disorders is evident, not all patients present with symptoms of anxiety or panic during attacks of vertigo. However, most patients develop a disabling “phobic/avoidance pattern” (Kapfhammer et al. 1997). These patients contact neurologists or otolaryngologists first and foremost and not psychiatrists or psychotherapists, since their prevailing complaint is distressing postural imbalance and vertigo.
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In the citing paper
“Furthermore, PPPD is not a diagnosis of exclusion [12, 24, 75].”
In the citing paper
“Difficulty with self-motion is part of PPV [12, 13], SMD [39], and CSD [75, 81].”
In the citing paper
“Mild anxiety and depressive symptoms and phobic behaviors were included in the descriptions of PPV [12, 13], but were considered comorbidities of CSD [24, 75, 80].”
In the citing paper
“Tilting and sliding sensations are included in the Bárány Society’s definition of non-spinning vertigo [9], but these are not typical symptoms of PPPD [12, 13, 24, 75].”
In the citing paper
“Most patients with PPPD report more severe symptoms when standing or walking than when sitting or lying down [12, 13, 75].”
In the citing paper
“Postural provocation is a distinguishing feature of PPV [12, 13].”
In the citing paper
“Positive results indicate that an anxiety or depressive disorder is likely, either as the sole cause of vestibular symptoms or co-existing with PPPD [12, 58, 75, 79].”
In the citing paper
“No epidemiologic studies are available for PPPD, but its prevalence and incidence may be estimated from research done on patients with PPV, VV, CSD, and chronic dizziness following acute vestibular syndromes [7, 12, 23, 28, 30, 79].”
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Metadata
- Authors
- Brandt, T.
- Affiliations
- LMU Klinikum (DE)
- Corresponding author
- Brandt, Thomas
- Venue
- Neurology
- Published
- 1996-06
- Volume
- 46
- Issue
- 6
- Pages
- 1515-1519
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2162266658
- Cited by
- 323
- References
- 52
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 15 · 2023: 20 · 2022: 13 · 2021: 12 · 2020: 23 · 2019: 14 · 2018: 15 · 2017: 16 · 2016: 16 · 2015: 9 · 2014: 17 · 2013: 12 · 2012: 12
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- phobic postural vertigo, postural imbalance, phobic avoidance, obsessive-compulsive personality, anxiety disorders, dizziness, misdiagnosis, gait and posture
- MeSH terms
- Adolescent, Adult, Agoraphobia, Behavior Therapy, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Models, Neurological, Motion Perception, Obsessive-Compulsive Disorder, Otolithic Membrane, Phobic Disorders, Posture, Psychophysiologic Disorders, Schizophrenia, Vertigo, Vestibule, Labyrinth, Panic Disorder
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