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.1 Vertigo may have a number of etiologies which include vascular, neoplastic, infectious, toxic or physiologic.1
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.