Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report

Persistent postural perceptual dizziness (PPPD) is a functional vestibular disorder that can cause significant distress and impairment. Evidence for effective PPPD treatment is still limited and among suggested treatment regimes there have been mixed findings regarding neurostimulation. We present a...

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Main Authors: Natalie Seiler, Michelle McAlary, Richard Kanaan, Revi Nair
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/crps/9996688
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author Natalie Seiler
Michelle McAlary
Richard Kanaan
Revi Nair
author_facet Natalie Seiler
Michelle McAlary
Richard Kanaan
Revi Nair
author_sort Natalie Seiler
collection DOAJ
description Persistent postural perceptual dizziness (PPPD) is a functional vestibular disorder that can cause significant distress and impairment. Evidence for effective PPPD treatment is still limited and among suggested treatment regimes there have been mixed findings regarding neurostimulation. We present a case report of electroconvulsive therapy (ECT) for an individual with severe PPPD. The patient was a middle-aged woman admitted for acute suicidal ideation in the setting of peripartum depression and PPPD, following several unsuccessful antidepressant trials and a prior suicide attempt. She provided voluntary consent for ECT during admission, and 10 acute bifrontal ECT treatments were completed. The patient was substantially improved in PPPD, depressive, and anxiety symptoms, as well as quality of life. ECT may be beneficial in addressing PPPD symptoms. Further research is needed regarding the role of neurostimulation in PPPD.
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spelling doaj-art-efca2dfd48d74b2180bee78cc2e3feca2025-08-20T03:18:12ZengWileyCase Reports in Psychiatry2090-68382025-01-01202510.1155/crps/9996688Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case ReportNatalie Seiler0Michelle McAlary1Richard Kanaan2Revi Nair3Department of PsychiatryDivision of Mental HealthDepartment of PsychiatryDivision of Mental HealthPersistent postural perceptual dizziness (PPPD) is a functional vestibular disorder that can cause significant distress and impairment. Evidence for effective PPPD treatment is still limited and among suggested treatment regimes there have been mixed findings regarding neurostimulation. We present a case report of electroconvulsive therapy (ECT) for an individual with severe PPPD. The patient was a middle-aged woman admitted for acute suicidal ideation in the setting of peripartum depression and PPPD, following several unsuccessful antidepressant trials and a prior suicide attempt. She provided voluntary consent for ECT during admission, and 10 acute bifrontal ECT treatments were completed. The patient was substantially improved in PPPD, depressive, and anxiety symptoms, as well as quality of life. ECT may be beneficial in addressing PPPD symptoms. Further research is needed regarding the role of neurostimulation in PPPD.http://dx.doi.org/10.1155/crps/9996688
spellingShingle Natalie Seiler
Michelle McAlary
Richard Kanaan
Revi Nair
Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
Case Reports in Psychiatry
title Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
title_full Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
title_fullStr Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
title_full_unstemmed Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
title_short Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report
title_sort electroconvulsive therapy for persistent postural perceptual dizziness a case report
url http://dx.doi.org/10.1155/crps/9996688
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AT revinair electroconvulsivetherapyforpersistentposturalperceptualdizzinessacasereport