Mal de débarquement syndrome diagnostic criteria: Consensus document of the Classification Committee of the Bárány Society

Yoon Hee Cha, Robert W. Baloh, Catherine Cho, Måns Magnusson, Jae Jin Song, Michael Strupp, Floris Wuyts, Jeffrey P. Staab

Research output: Contribution to journalArticlepeer-review

Abstract

We present diagnostic criteria for mal de débarquement syndrome (MdDS) for inclusion into the International Classification of Vestibular Disorders. The criteria include the following: 1] Non-spinning vertigo characterized by an oscillatory perception ('rocking,' 'bobbing,' or 'swaying') present continuously or for most of the day; 2] Onset occurs within 48 hours after the end of exposure to passive motion, 3] Symptoms temporarily reduce with exposure to passive motion (e.g. driving), and 4] Symptoms persist for >48 hours. MdDS may be designated as 'in evolution,' if symptoms are ongoing but the observation period has been less than 1 month; 'transient,' if symptoms resolve at or before 1 month and the observation period extends at least to the resolution point; or 'persistent' if symptoms last for more than 1 month. Individuals with MdDS may develop co-existing symptoms of spatial disorientation, visual motion intolerance, fatigue, and exacerbation of headaches or anxiety. Features that distinguish MdDS from vestibular migraine, motion sickness, and persistent postural perceptual dizziness (PPPD) are reviewed. Motion-moderated oscillatory vertigo can also occur without a motion trigger, typically following another vestibular disorder, a medical illness, heightened psychological stress, or metabolic disturbance. Terminology for this non-motion triggered presentation has been varied as it has features of both MdDS and PPPD. Further research is needed into its phenomenological and biological relationship to MdDS, PPPD, and other vestibular disorders.

Original languageEnglish (US)
Pages (from-to)285-293
Number of pages9
JournalJournal of Vestibular Research: Equilibrium and Orientation
Volume30
Issue number5
DOIs
StatePublished - 2020

Bibliographical note

Funding Information:
The working meetings for the International Classification of Vestibular Disorders (ICVD) are financially supported by the International Bárány Society and by Neuro+e.V., Berlin, Germany, a nonprofit association for neurological research.

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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