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2018 ; 265
(3
): 486-499
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Mal de Debarquement Syndrome: a survey on subtypes, misdiagnoses, onset and
associated psychological features
#MMPMID29305644
Mucci V
; Canceri JM
; Brown R
; Dai M
; Yakushin S
; Watson S
; Van Ombergen A
; Topsakal V
; Van de Heyning PH
; Wuyts FL
; Browne CJ
J Neurol
2018[Mar]; 265
(3
): 486-499
PMID29305644
show ga
INTRODUCTION: Mal de Debarquement Syndrome (MdDS) is a neurological condition
typically characterized by a sensation of motion, that persists longer than a
month following exposure to passive motion (e.g., cruise, flight, etc.). The most
common form of MdDS is motion triggered (MT). However, recently it has been
acknowledged that some patients develop typical MdDS symptoms without an apparent
motion trigger. These cases are identified here as spontaneous or other onset
(SO) MdDS. This study aimed to address similarities and differences between the
MdDS subtypes. Diagnostic procedures were compared and extensive diagnostic
guidelines were proposed. Second, potential triggers and associated psychological
components of MdDS were revealed. METHODS: This was a retrospective online survey
study for MT and SO MdDS patients. Participants were required to respond to a set
of comprehensive questions regarding epidemiological details, as well as the
diagnostic procedures and onset triggers. RESULTS: There were 370 patients who
participated in the surveys. It is indicated that MdDS is often misdiagnosed;
more so for the SO group. In addition to the apparent self-motion, both groups
reported associated levels of stress, anxiety and depression. DISCUSSION: It
appears at present that both MdDS subtypes are still poorly recognised. This was
the first attempt to evaluate the diagnostic differences between MdDS subtypes
and to propose a set of comprehensive diagnostic guidelines for both MdDS
subtypes. In addition, the current research addressed that associated symptoms
such as stress, anxiety and depression should also be considered when treating
patients. We hope this study will help the medical community to broaden their
awareness and diagnostic knowledge of this condition.
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