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持续性姿势-知觉性头晕的超低频神经反馈——病例报告

Infra-low frequency neurofeedback in persistent postural-perceptual dizziness-Case report.

作者信息

Sasu Roxana

机构信息

Neurotopia, Woodland Hills, CA, United States.

出版信息

Front Hum Neurosci. 2022 Jul 22;16:959579. doi: 10.3389/fnhum.2022.959579. eCollection 2022.

DOI:10.3389/fnhum.2022.959579
PMID:35937677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9352934/
Abstract

Persistent Postural-Perceptual Dizziness, also known as PPPD or 3PD, is a chronic functional vestibular disorder characterized by persistent sensation of rocking or swaying unsteadiness and/ or non-spinning dizziness without vertigo lasting at least 3 months. Symptoms typically worsen with upright posture (like standing or sitting upright), head or body motion and exposure to busy or visually rich environments. The article describes the application of Infra-Low Frequency Neurofeedback (ILF NF) over 32 sessions on an unmedicated individual with symptoms related to PPPD that were still present 3 years after the initial diagnosis. Along with significant reduction in those symptoms, other accompanying symptoms (like anxiety, intrusive violent thoughts, suicidal thoughts) were markedly improved with ILF NFB. Consistent symptom tracking from session to session, as well as before and after CPT data were used to document reported changes with ILF NF.

摘要

持续性姿势-感知性头晕,也称为PPPD或3PD,是一种慢性功能性前庭疾病,其特征是持续存在摇摆或摇晃不稳的感觉和/或无眩晕的非旋转性头晕,持续至少3个月。症状通常在直立姿势(如站立或坐直)、头部或身体运动以及暴露于繁忙或视觉丰富的环境中时加重。本文描述了对一名未用药的个体进行32次 infra-低频神经反馈(ILF NF)治疗的应用,该个体在初次诊断3年后仍存在与PPPD相关的症状。随着这些症状的显著减轻,其他伴随症状(如焦虑、侵入性暴力想法、自杀念头)也通过ILF NFB得到了明显改善。每次治疗之间以及CPT数据前后的持续症状跟踪被用于记录ILF NF报告的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/f1338b4d3323/fnhum-16-959579-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/dedcdb69c46a/fnhum-16-959579-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/742e215abddc/fnhum-16-959579-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/f1338b4d3323/fnhum-16-959579-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/dedcdb69c46a/fnhum-16-959579-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/742e215abddc/fnhum-16-959579-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78dc/9352934/f1338b4d3323/fnhum-16-959579-g0003.jpg

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本文引用的文献

1
Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment With Cognitive Behavioral Therapy.持续性姿势-感知性头晕:诱发因素、合并症及认知行为疗法治疗
Front Neurol. 2021 Dec 24;12:795516. doi: 10.3389/fneur.2021.795516. eCollection 2021.
2
Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society.持续性姿势-知觉性头晕(PPPD)的诊断标准:巴兰尼协会前庭疾病分类委员会共识文件
J Vestib Res. 2017;27(4):191-208. doi: 10.3233/VES-170622.
3
Overview of the International Classification of Vestibular Disorders.
前庭疾病国际分类概述
Neurol Clin. 2015 Aug;33(3):541-50, vii. doi: 10.1016/j.ncl.2015.04.010.
4
Outcome of symptoms of dizziness in a general practice community sample.普通全科医疗社区样本中头晕症状的转归
Fam Pract. 1999 Dec;16(6):616-8. doi: 10.1093/fampra/16.6.616.