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The disorder constitutes a long-term maladaptation to a neuro-otological, medical or psychological event that triggered vestibular symptoms, and is usefully considered within the spectrum of other functional neurological disorders. While diagnostic tests and conventional imaging usually remain negative, patients with PPPD present in a characteristic way that maps on to positive diagnostic criteria. Patients often develop secondary functional gait disorder, anxiety, avoidance behaviour and severe disability. Once recognised, PPPD can be managed with effective communication and tailored treatment strategies, including specialised physical therapy (vestibular rehabilitation), serotonergic medications and cognitive-behavioural therapy.<\/jats:p>","DOI":"10.1136\/practneurol-2017-001809","type":"journal-article","created":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T20:40:35Z","timestamp":1512506435000},"page":"5-13","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":309,"title":["Persistent postural-perceptual dizziness (PPPD): a common, characteristic and treatable cause of chronic dizziness"],"prefix":"10.1136","volume":"18","author":[{"given":"Stoyan","family":"Popkirov","sequence":"first","affiliation":[{"name":"Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey P","family":"Staab","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology and Otorhinolaryngology \u2013 Head and Neck Surgery, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Stone","sequence":"additional","affiliation":[{"name":"Centre for Clinical Brain Sciences, University of Edinburgh, Western General Hospital, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,12,5]]},"reference":[{"key":"2025090409170554000_18.1.5.1","doi-asserted-by":"crossref","unstructured":"Staab JP , Eckhardt-Henn A , Horii A , et al . 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