Phobic postural vertigo: a first follow-up |
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Authors: | T. Brandt D. Huppert M. Dieterich |
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Affiliation: | (1) Neurologische Universitätsklinik, Klinikum Großhadern, Marchioninistrasse 15, D-81377 München, Germany |
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Abstract: | Seventy-eight patients with phobic postural vertigo (PPV) and 17 patients with psychogenic disorder of stance and gait (PSG) were asked to evaluate their condition 6 months to 5.5 years after their original referral and short-term psychotherapy. Two results seem most important: (1) PPV had a favourable course with a 72% improvement rate (22% of patients becoming symptom free), whereas the majority of patients with PSG (52%) remained unchanged; (2) the majority of patients with PPV experienced complete remission or considerable improvement even if their condition had lasted between 1 and 20 years prior to diagnosis. Complete remission of PSG was observed only if the disorder had been present less than 4 months; there was no improvement if it had lasted longer than 2 years. PPV can be defined as a distinct clinical entity with a relatively benign course. It can be reliably diagnosed on the basis of typical features. |
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Keywords: | Phobic postural vertigo Psychogenic disorders Postural balance Panic disorder Conversion |
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