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Journal of Neurology

, Volume 252, Issue 5, pp 564–569 | Cite as

Phobic postural vertigo

A long-term follow–up (5 to 15 years) of 106 patients
  • D. Huppert
  • M. Strupp
  • N. Rettinger
  • J. Hecht
  • T. Brandt
Article

Abstract

One hundred and six patients diagnosed between 1987 and 1998 to have somatoform phobic postural vertigo were examined in a follow–up study with a selfevaluating questionnaire. The improvement rate after a mean follow–up time of 8.5 years (5 to 15.9 years) was 75% (27% of the patients reported a complete remission). While the majority of these patients experienced improvement or remission during the first year after assessment of diagnosis and a short–term psychotherapeutic approach, some patients also had considerable improvement even after two or more years. There was a negative correlation between the duration of the condition before assessment of the diagnosis and the improvement/regression rate. The improvement/regression rate was independent of gender, age, preceding vestibular or nonvestibular organic disorders, and the various medical, physical, or psychotherapeutic interventions. Transient relapses occurred in 47% of the improved patients once or repeatedly. The probability of developing a relapse remained constant throughout the entire follow–up. None of the patients required a revision of the initial diagnosis on the basis of the questionnaire.

Key words

phobic postural vertigo postural sway follow–up somatoform disorders 

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Copyright information

© Steinkopff Verlag 2005

Authors and Affiliations

  • D. Huppert
    • 1
  • M. Strupp
    • 1
  • N. Rettinger
    • 1
  • J. Hecht
    • 1
  • T. Brandt
    • 1
  1. 1.Dept. of NeurologyUniversity of Munich, Klinikum GroßhadernMünchenGermany

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