Functional and psychiatric vestibular disorders

Research output: Chapter in Book/Report/Conference proceedingChapter

8 Citations (Scopus)

Abstract

Behavioral factors have long been recognized as affecting spatial orientation and balance function. Neuroanatomic and neurophysiologic studies conducted worldwide over the last 30 years have substantially advanced our knowledge about the inherently strong connectivity among threat/anxiety, vestibular, visual, and somatosensory systems in the brain. Clinical investigations have shed greater light on the nature of functional and psychiatric disorders that manifest or magnify vestibular morbidity. Concepts of these syndromes have changed over 150 years. Even their nomenclature has had different meanings in different eras. This chapter will review functional and psychiatric vestibular disorders. Terminology will follow the International Classification of Diseases, 11th edition, beta draft and the International Classification of Vestibular Disorders. Anxiety plays a central role in behavioral vestibular morbidity. Anxiety, traumatic stress, obsessive, and depressive disorders may be primary causes of episodic and chronic vestibular symptoms or secondary complications of other vestibular disorders. These psychiatric illnesses affect 30–50% of patients who consult neurologists or otologists for vestibular symptoms. Coexisting psychiatric disorders adversely affect treatment for patients with structural vestibular diseases, especially when unrecognized. Persistent postural-perceptual dizziness is the leading cause of long-term vestibular disability. Fortunately, pharmacologic, psychotherapeutic, and rehabilitative treatments of these illnesses have improved in recent years.

Original languageEnglish (US)
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages341-351
Number of pages11
Volume137
DOIs
StatePublished - 2016

Publication series

NameHandbook of Clinical Neurology
Volume137
ISSN (Print)00729752
ISSN (Electronic)22124152

Fingerprint

Psychiatry
Anxiety
Terminology
Traumatic Stress Disorders
Vestibular Diseases
Morbidity
Dizziness
International Classification of Diseases
Depressive Disorder
Brain
Therapeutics

Keywords

  • anxiety disorders
  • cognitive therapy
  • depression
  • persistent postural-perceptual dizziness
  • selective serotonin reuptake inhibitor
  • vestibular habituation

ASJC Scopus subject areas

  • Medicine(all)
  • Neurology
  • Clinical Neurology

Cite this

Staab, J. P. (2016). Functional and psychiatric vestibular disorders. In Handbook of Clinical Neurology (Vol. 137, pp. 341-351). (Handbook of Clinical Neurology; Vol. 137). Elsevier B.V.. https://doi.org/10.1016/B978-0-444-63437-5.00024-8

Functional and psychiatric vestibular disorders. / Staab, Jeffrey P.

Handbook of Clinical Neurology. Vol. 137 Elsevier B.V., 2016. p. 341-351 (Handbook of Clinical Neurology; Vol. 137).

Research output: Chapter in Book/Report/Conference proceedingChapter

Staab, JP 2016, Functional and psychiatric vestibular disorders. in Handbook of Clinical Neurology. vol. 137, Handbook of Clinical Neurology, vol. 137, Elsevier B.V., pp. 341-351. https://doi.org/10.1016/B978-0-444-63437-5.00024-8
Staab JP. Functional and psychiatric vestibular disorders. In Handbook of Clinical Neurology. Vol. 137. Elsevier B.V. 2016. p. 341-351. (Handbook of Clinical Neurology). https://doi.org/10.1016/B978-0-444-63437-5.00024-8
Staab, Jeffrey P. / Functional and psychiatric vestibular disorders. Handbook of Clinical Neurology. Vol. 137 Elsevier B.V., 2016. pp. 341-351 (Handbook of Clinical Neurology).
@inbook{986dcf397f9947cb9a94e1fff2bf7f63,
title = "Functional and psychiatric vestibular disorders",
abstract = "Behavioral factors have long been recognized as affecting spatial orientation and balance function. Neuroanatomic and neurophysiologic studies conducted worldwide over the last 30 years have substantially advanced our knowledge about the inherently strong connectivity among threat/anxiety, vestibular, visual, and somatosensory systems in the brain. Clinical investigations have shed greater light on the nature of functional and psychiatric disorders that manifest or magnify vestibular morbidity. Concepts of these syndromes have changed over 150 years. Even their nomenclature has had different meanings in different eras. This chapter will review functional and psychiatric vestibular disorders. Terminology will follow the International Classification of Diseases, 11th edition, beta draft and the International Classification of Vestibular Disorders. Anxiety plays a central role in behavioral vestibular morbidity. Anxiety, traumatic stress, obsessive, and depressive disorders may be primary causes of episodic and chronic vestibular symptoms or secondary complications of other vestibular disorders. These psychiatric illnesses affect 30–50{\%} of patients who consult neurologists or otologists for vestibular symptoms. Coexisting psychiatric disorders adversely affect treatment for patients with structural vestibular diseases, especially when unrecognized. Persistent postural-perceptual dizziness is the leading cause of long-term vestibular disability. Fortunately, pharmacologic, psychotherapeutic, and rehabilitative treatments of these illnesses have improved in recent years.",
keywords = "anxiety disorders, cognitive therapy, depression, persistent postural-perceptual dizziness, selective serotonin reuptake inhibitor, vestibular habituation",
author = "Staab, {Jeffrey P}",
year = "2016",
doi = "10.1016/B978-0-444-63437-5.00024-8",
language = "English (US)",
volume = "137",
series = "Handbook of Clinical Neurology",
publisher = "Elsevier B.V.",
pages = "341--351",
booktitle = "Handbook of Clinical Neurology",

}

TY - CHAP

T1 - Functional and psychiatric vestibular disorders

AU - Staab, Jeffrey P

PY - 2016

Y1 - 2016

N2 - Behavioral factors have long been recognized as affecting spatial orientation and balance function. Neuroanatomic and neurophysiologic studies conducted worldwide over the last 30 years have substantially advanced our knowledge about the inherently strong connectivity among threat/anxiety, vestibular, visual, and somatosensory systems in the brain. Clinical investigations have shed greater light on the nature of functional and psychiatric disorders that manifest or magnify vestibular morbidity. Concepts of these syndromes have changed over 150 years. Even their nomenclature has had different meanings in different eras. This chapter will review functional and psychiatric vestibular disorders. Terminology will follow the International Classification of Diseases, 11th edition, beta draft and the International Classification of Vestibular Disorders. Anxiety plays a central role in behavioral vestibular morbidity. Anxiety, traumatic stress, obsessive, and depressive disorders may be primary causes of episodic and chronic vestibular symptoms or secondary complications of other vestibular disorders. These psychiatric illnesses affect 30–50% of patients who consult neurologists or otologists for vestibular symptoms. Coexisting psychiatric disorders adversely affect treatment for patients with structural vestibular diseases, especially when unrecognized. Persistent postural-perceptual dizziness is the leading cause of long-term vestibular disability. Fortunately, pharmacologic, psychotherapeutic, and rehabilitative treatments of these illnesses have improved in recent years.

AB - Behavioral factors have long been recognized as affecting spatial orientation and balance function. Neuroanatomic and neurophysiologic studies conducted worldwide over the last 30 years have substantially advanced our knowledge about the inherently strong connectivity among threat/anxiety, vestibular, visual, and somatosensory systems in the brain. Clinical investigations have shed greater light on the nature of functional and psychiatric disorders that manifest or magnify vestibular morbidity. Concepts of these syndromes have changed over 150 years. Even their nomenclature has had different meanings in different eras. This chapter will review functional and psychiatric vestibular disorders. Terminology will follow the International Classification of Diseases, 11th edition, beta draft and the International Classification of Vestibular Disorders. Anxiety plays a central role in behavioral vestibular morbidity. Anxiety, traumatic stress, obsessive, and depressive disorders may be primary causes of episodic and chronic vestibular symptoms or secondary complications of other vestibular disorders. These psychiatric illnesses affect 30–50% of patients who consult neurologists or otologists for vestibular symptoms. Coexisting psychiatric disorders adversely affect treatment for patients with structural vestibular diseases, especially when unrecognized. Persistent postural-perceptual dizziness is the leading cause of long-term vestibular disability. Fortunately, pharmacologic, psychotherapeutic, and rehabilitative treatments of these illnesses have improved in recent years.

KW - anxiety disorders

KW - cognitive therapy

KW - depression

KW - persistent postural-perceptual dizziness

KW - selective serotonin reuptake inhibitor

KW - vestibular habituation

UR - http://www.scopus.com/inward/record.url?scp=84999663717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84999663717&partnerID=8YFLogxK

U2 - 10.1016/B978-0-444-63437-5.00024-8

DO - 10.1016/B978-0-444-63437-5.00024-8

M3 - Chapter

VL - 137

T3 - Handbook of Clinical Neurology

SP - 341

EP - 351

BT - Handbook of Clinical Neurology

PB - Elsevier B.V.

ER -