A Clinical Case of Late Diagnosis of Persistent Postural Perceptive Vertigo

Abstract

The purpose of the review: to present a clinical case of a patient with late-diagnosed persistent postural perceptual dizziness (PPPD).

Key points. Modern criteria, features of diagnosis and methods of treatment of PPPD, medical history and course of diagnostic search are presented. The specialists did not find data for organic pathology of the brain and inner ear and established only a preliminary diagnosis, recommending further examination. The authors focused on the search for anxiety-depressive disorders and a detailed medical history. So, during the survey, a specialized questionnaire was used to identify anxiety associated with dizziness, and a very high level was shown. It was also found out that there was an acute episode of systemic dizziness in the anamnesis. PPPD was diagnosed. The patient was recommended psychotherapy. Appointed to receive selective serotonin reuptake inhibitors, perform vestibular exercises with a gradual increase in vestibular load. Three months later, a positive trend was noted.

Conclusion. This clinical case demonstrates the importance of an in-depth analysis of the medical history in patients with dizziness and attention to the neuropsychological profile.