Suspected Mal de Debarquement Syndrome: a case report highlighting the difficulty in diagnosis and management

MdDS is syndrome of oscillating vertigo following cessation of passive motion. The pathogenesis of this disorder is not well understood, but functional imaging studies suggest cortical connectivity dysfunction in feedback loops of the vestibulo-ocular system and visuo-spatial system. Patients go through multiple appointments and often specialist referrals before being diagnosed. After diagnosis, optimal management is difficult. Several treatment modalities, including medication, vestibular rehabilitation, and neuromodulation, have had variable success in management. We present the case of a young, female active duty Air Force Captain who developed symptoms while deployed. She underwent multiple treatments with variable success. Her clinical course highlights the difficulties for patients and providers posed by suspected MdDS.

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Treating dizziness: a case series

This case series presents the clinical assessment and diagnosis of two patients with persistent vertigo from two separate etiologies who remained refractory to typical interventions; and discusses the outcomes of individualized, targeted, multisystem management provided by a chiropractor.

Vertigo is defined as the sensation of self-motion when no self-motion is occurring or the sensation of distorted self-motion during otherwise normal movement. Vertigo may have a number of etiologies which include vascular, neoplastic, infectious, toxic or physiologic.

In this case series, two patients suffered from physiologic forms of vertigo. The diagnoses included persistent postural perceptual dizziness (PPPD) and Mal de Debarquement syndrome (MdDS). Both were diagnosed by neurootology specialists and remained refractory to standard interventions.

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Mal de Debarquement Syndrome: A Case Presentation of a Vestibular Enigma

Abstract Mal de Debarquement (MdD) is a rare vestibular disorder characterized by a rocking or swaying sensation following passive motion exposure, such as boat or airplane travel. The etiology and pathogenesis are unknown. Due to a lack of clinical awareness and research, it is underrecognized and misdiagnosed. We present a case of a 37-year-old male […]

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Mal De Debarquement Syndrome: an often unrecognized and unreported condition

Abstract Mal de debarquement syndrome (MdDS), also known as “the sickness of disembarkment,” is characterized by a persistent bobbing, rocking, or swaying sensation reported by patients long after they have completed travel on a boat or other forms of extended transportation. A detailed patient history, focusing on specific inquiries about recent boat or ship travel, […]

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Mal de Débarquement Syndrome in children: a case series

Currently, mal de débarquement syndrome (MdDS) has been reported only among adults. This case series describes 3 pediatric patients with MdDS. MdDS presentation in children is similar to that of adults, although the frequency of comorbid conditions is greater. Diagnostic delays are common and likely due to under-recognition of MdDS among children.

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Visual disorders and mal de debarquement syndrome: a potential comorbidity questionnaire-based study

Abstract Aim: Mal de debarquement syndrome (MdDS) is a neurological condition characterized by a constant sensation of self-motion; onset may be motion-triggered (MT) or non-motion-triggered/spontaneous (NMT/SO). People with MdDS experience similar symptoms to those with vertical heterophoria, a subset of binocular visual dysfunction. Hence, we aimed to explore potential visual symptom overlaps. Methods: MdDS patients […]

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Seasickness among Icelandic seamen

Abstract Introduction: The working environment abroad a ship is unique, with constant stimuli such as rolling of the vessel, noise, and vibration. Fishing industry is important for Icelandic economy, still the effect of seasickness-related symptoms on seamen´s health is not fully understood. Thus, the objective of this study is to explore the impact of seasickness-related […]

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