{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:38:54Z","timestamp":1787027934629,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T00:00:00Z","timestamp":1696291200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VES"],"published-print":{"date-parts":[[2023,10,3]]},"abstract":"<jats:p>BACKGROUND: Motorist Disorientation Syndrome (MDS) is a term used to describe patients who primarily experience symptoms of dizziness\/disorientation whilst in a motor car [21]. There is uncertainty about the relevance of vestibular dysfunction and whether this disorder could instead be a visually induced dizziness (VV) or part of a functional disorder similar to Persistent postural perceptual dizziness (PPPD). OBJECTIVE: We present the largest case-series to date of patients whose main complaint is of illusions of movement of self\/vehicle when driving, characterising features of this group. METHODS: 18 subjects underwent detailed clinical assessment including validated questionnaires. A subset of patients underwent vestibular function testing. RESULTS: Mean onset age was 42 years, with no gender preponderance. Mean symptom duration was 6.39 years and was significantly longer in women. 50% reported moderate or severe handicap. Vestibular abnormalities were found in 60% of subjects tested. There was no significant difference in VSS total score between those with MDS and vestibular migraine (p\u200a=\u200a0.154) with both having higher scores than healthy controls (p\u200a=\u200a0.002, 0.000 respectively). CONCLUSIONS: MDS represents consistent symptoms, with high symptom burden, comparable to vestibular migraine. Vestibular deficits were not a consistent feature and similarities to VV and PPPD exist.<\/jats:p>","DOI":"10.3233\/ves-220088","type":"journal-article","created":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T13:28:28Z","timestamp":1685107708000},"page":"339-348","source":"Crossref","is-referenced-by-count":4,"title":["Motorist disorientation syndrome; clinical features and vestibular findings"],"prefix":"10.1177","volume":"33","author":[{"given":"Carolyn","family":"Ainsworth","sequence":"first","affiliation":[{"name":"Neuro-otology, Department of ENT, Guy\u2019s and St Thomas\u2019 NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalyn","family":"Davies","sequence":"additional","affiliation":[{"name":"National Hospital for Neurology and Neurosurgery (NHNN), London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Colvin","sequence":"additional","affiliation":[{"name":"Elizabeth Avenue Group Practice, 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