Abstract
Mal de debarquement syndrome (MdDS) is a disorder of persistent vertigo characterized
by a feeling of oscillation such as rocking, bobbing, or swaying. It is triggered
by passive motion, typically by exposure to water, air, or land transportation. This
syndrome affects middle-aged individuals who are predominantly women. MdDS presents
as a balance disorder that carries significant risk of morbidity due to both the direct
effects of balance impairment and associated symptoms of fatigue, cognitive slowing,
and visual motion intolerance. The Barany Society will be publishing criteria for
diagnosing persistent MdDS. In addition, more insight has been gained into the pathophysiology
of MdDS, with current hypotheses pointing to a cerebral and cerebellar basis. Treatments
have expanded beyond medication trials, and now include the use of noninvasive brain
stimulation and readaptation of the vestibulo-ocular reflex.
Keywords
mal de debarquement syndrome - persistent oscillating vertigo - disembarkment syndrome