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2016 ; 263
(5
): 843-854
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Mal de debarquement syndrome: a systematic review
#MMPMID26559820
Van Ombergen A
; Van Rompaey V
; Maes LK
; Van de Heyning PH
; Wuyts FL
J Neurol
2016[May]; 263
(5
): 843-854
PMID26559820
show ga
Mal de debarquement (MdD) is a subjective perception of self-motion after
exposure to passive motion, in most cases sea travel, hence the name. Mal de
debarquement occurs quite frequently in otherwise healthy individuals for a short
period of time (several hours). However, in some people symptoms remain for a
longer period of time or even persist and this is then called mal de debarquement
syndrome (MdDS). The underlying pathogenesis is poorly understood and therefore,
treatment options are limited. In general, limited studies have focused on the
topic, but the past few years more and more interest has been attributed to MdDS
and its facets, which is reflected by an increasing number of papers. Till date,
some interesting reviews on the topic have been published, but a systematic
review of the literature is lacking and could help to address the shortcomings
and flaws of the current literature. We here present a systematic review of
MdD(S) based on a systematic search of medical databases employing predefined
criteria, using the terms "mal de debarquement" and "sea legs". Based on this, we
suggest a list of criteria that could aid healthcare professionals in the
diagnosis of MdDS. Further research needs to address the blank gaps by addressing
how prevalent MdD(S) really is, by digging deeper into the underlying
pathophysiology and setting up prospective, randomized placebo-controlled studies
to evaluate the effectiveness of possible treatment strategies.
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