Chronic dizziness conditions & PPPD

By the end of this module participants will be able to;

1. Critically evaluate the multifactorial pathophysiology of chronic dizziness, particularly in the elderly, distinguishing between presbystasis and specific vestibular pathologies.
2. Analyze the concept of visual dependence (visual vertigo) as a maladaptive sensory reweighting strategy and its impact on postural control and falls risk.
3. Apply the Bárány Society diagnostic criteria to differentiate Persistent Postural-Perceptual Dizziness (PPPD) from structural vestibular disorders and psychiatric conditions.
4. Formulate evidence-based multimodal management plans for PPPD, integrating vestibular rehabilitation, cognitive-behavioral therapy, and pharmacotherapy.
5. Distinguish the overlapping clinical features of Vestibular Migraine, Meniere’s and Mal de Debarquement Syndrome (MdDS), specifically regarding symptom triggers and response to passive motion.