What is Persistent Postural Perceptual Dizziness?

On today’s episode, Dr. Nick talks about a common form of chronic vertigo called Persistent Postural-Perceptual Dizziness (PPPD). This chronic vestibular syndrome is persistent due to changes in the brain that have occurred usually following a more acute form of vertigo like a viral infection or benign paroxysmal positional vertigo (BPPV). It is characterized by dizziness that gets worse with upright posture/walking, active or passive movements, and excess visual stimuli. Most patients have the problem with complex movements that occur around them like being in a large crowd or driving. Others have problems walking at a normal pace, and some have both problems. This can be really detrimental to people’s work and social life and prevent them from striving for their health goals. Check out the video for more in depth information on PPPD and how we fix it!

Yagi C, Morita Y, Kitazawa M, et al. Subtypes of Persistent Postural-Perceptual Dizziness. Front Neurol. 2021;12:652366.