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Cited by 323Vestibular and auditory disordersCardiovascular Syncope and Autonomic DisordersPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.

Phobic Postural Vertigo

Brandt, Thomas·1996·Neurology
DOI 10.1212/wnl.46.6.1515
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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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51 of 51 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 10

  1. Brandt Th, Dieterich M. Phobischer Attacken-Schwank-schwindel, ein neues Syndrom? Munch Med Wschr 1986;128:247-250.
  2. Benedikt N. Uber "Platzschwindel.'' Allg Wiener Med Ztg 1870;15:488-489.
  3. Freud S. Uber die Berechtigung, von der Neurasthenie einen bestimmten Symptomencomplex als "Angstneurose'' abzutrennen. Neurol Centralbl 1895;12:50-66.
  4. Grusser O-J. J.E. Purkyne's contributions to the physiology of the visual, the vestibular and the oculomotor systems. Hum Neurobiol 1984;3:129-144.
  5. Brandt Th. Man in motion. Historical and clinical aspects of vestibular function: a review. Brain 1991;114:2159-2174.
  6. Fitzgerald G, Stengl E. Vestibular reactivity to caloric stimulation in schizophrenics. J Ment Sci 1945;91:93-100.
  7. Hallpike CS, Harrison MS, Slater E. Abnormalities of the caloric test result in certain varieties of mental disorder. Acta Otolaryngol (Stockh) 1951;39:151-159.
  8. Hinchcliffe ER. Personality profile in Meniere's disease. J Laryngol Otol 1967;81:476-481.
  9. Rigatelli M, Casolari L, Bergamini G, Guidetti G. Psychosomatic study of sixty patients with vertigo. Psychother Psychosom 1984;41:91-99.
  10. Frommberger U, Hurt-Schmidt S, Dierringer H, Tettenborn B, Buller R, Benkert O. Panikstorung und Schwindel. Zur psychopathologischen Differenzierung zwischen Neurologischer und Psychiatrischer Erkrankung. Nervenarzt 1993;64:377-383.

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Metadata

Authors
Brandt, T.
Affiliations
LMU Klinikum (DE)
Corresponding author
Brandt, Thomas
Venue
Neurology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1996-06
Volume
46
Issue
6
Pages
1515-1519
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
DOI
10.1212/wnl.46.6.1515
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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