Chronic subjective dizziness

Chronic Subjective Dizziness

Chronic Subjective Dizziness (CSD) is a condition characterized by persistent non-vertiginous dizziness and unsteadiness. It is a common cause of chronic dizziness and is often associated with anxiety and other psychological factors.

Symptoms

Individuals with Chronic Subjective Dizziness typically experience a sensation of dizziness that is not accompanied by a spinning sensation, which distinguishes it from vertigo. The dizziness is often described as a feeling of imbalance or a sensation of motion when there is none. Symptoms may be exacerbated by complex visual environments, such as busy streets or crowded places.

Causes

The exact cause of Chronic Subjective Dizziness is not fully understood. However, it is believed to be related to a combination of vestibular, psychological, and neurological factors. It often occurs following an acute vestibular disorder, such as vestibular neuritis or benign paroxysmal positional vertigo (BPPV), but can persist long after the initial condition has resolved.

Diagnosis

Diagnosis of Chronic Subjective Dizziness is primarily clinical, based on the patient's history and symptom description. It is important to rule out other causes of dizziness, such as vestibular disorders, neurological conditions, and cardiovascular issues. A thorough examination by a healthcare professional, often including vestibular testing, is necessary to confirm the diagnosis.

Treatment

Treatment for Chronic Subjective Dizziness typically involves a combination of vestibular rehabilitation therapy, cognitive-behavioral therapy, and medication. Vestibular rehabilitation therapy aims to improve balance and reduce dizziness through specific exercises. Cognitive-behavioral therapy can help address any underlying anxiety or psychological factors contributing to the condition. Medications, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help manage symptoms.

Prognosis

The prognosis for individuals with Chronic Subjective Dizziness varies. Some patients experience significant improvement with treatment, while others may have persistent symptoms. Early intervention and a multidisciplinary approach to treatment can improve outcomes.

See Also

• Vestibular system
• Anxiety disorder
• Cognitive-behavioral therapy