The term chronic subjective dizziness (CSD) is used to describe a commonly encountered type of dizziness that is not easily categorized into one of several other types, and for which the physical examination is typically normal. Patients with CSD frequently initially suffer a sudden injury of some sort to their vestibular system, the neurologic network that preserves sense of balance. Even after this initial injury has healed, people with CSD usually describe a vague sense of unsteadiness worsened by triggers in their environment such as high places, standing on moving objects, or standing in motion-rich environments like busy streets or crowds. There is a clear indication that anxiety and other mental illnesses play a role in the dizziness symptoms that occur with CSD.[1] However, the condition is categorized as chronic functional vestibular disorder, not as a structural or psychiatric condition.[2]
Proposals include renaming it persistent postural-perceptual dizziness (PPPD) which better captures the multiple aspects of the condition under its title.[3] It is under that title the World Health Organization has included PPPD in its draft list of diagnoses to be included to the next edition of the International Classification of Diseases (ICD-11) in 2017.[4]
^Pressman, Peter. "Chronic Subjective Dizziness". About.com Neurology. About.com. Archived from the original on 9 June 2014. Retrieved 14 June 2014.
^Staab, JP; Eckhardt-Henn, A; Horii, A; Jacob, R; Strupp, M; Brandt, T; Bronstein, A (2017). "Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society". J Vestib Res. 27 (4): 191–208. doi:10.3233/VES-170622. PMC 9249299. PMID 29036855.
^Vestibular Disorder Association, Based on an article written by Dr. Jeffrey P. Staab. "Persistent Postural-Perceptual Dizziness" (PDF). Vestibular.com. Vestibular.com. Retrieved 29 January 2017.
^WHO ICD-11 Beta Draft. "ICD-11 Beta Draft". Who.int Draft list. Who.int. Archived from the original on October 3, 2011. Retrieved 29 January 2017.{{cite web}}: CS1 maint: numeric names: authors list (link)
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