关键词: dizziness vertigo imbalance equilibrium mal de debarquement syndrome travel-related dizziness vertigo vestibular and balance rehabilitation vestibular dysfunction

来  源:   DOI:10.7759/cureus.64590   PDF(Pubmed)

Abstract:
Mal de debarquement syndrome (MdDS), also known as \"the sickness of disembarkment,\" is characterized by a persistent bobbing, rocking, or swaying sensation reported by patients long after they have completed travel on a boat or other forms of extended transportation. A detailed patient history, focusing on specific inquiries about recent boat or ship travel, is crucial for a timely diagnosis. The syndrome is unique in that reintroducing similar movements, such as driving, swinging, or returning to the boat, alleviates symptoms temporarily. We describe the case history of a 28-year-old male who experienced a persistent illusion of ground movement for six months following a fishing expedition. The patient reported alleviated symptoms when re-exposed to movements such as driving or swinging. The patient had undergone extensive medical workups and imaging tests under multiple physicians before being diagnosed with MdDS. MdDS is a commonly misdiagnosed, underdiagnosed, unreported, and unrecognized condition. Diagnosing MdDS requires a detailed medical and travel history, accompanying an understanding that the symptoms improve upon re-exposure to the same or similar motion.
摘要:
道德障碍综合征(MdDS),也被称为“下船病”,“的特点是持续的摆动,摇摆,或患者在完成乘船旅行或其他形式的延长运输后很久报告的摇摆感。详细的病史,专注于最近船只或船只旅行的具体询问,对及时诊断至关重要。这种综合症的独特之处在于重新引入类似的运动,比如开车,摇摆,或者回到船上,暂时缓解症状。我们描述了一名28岁男性的病例史,该男性在钓鱼探险后经历了六个月的持续地面运动幻觉。当再次暴露于诸如驾驶或挥杆的运动时,患者报告症状减轻。在被诊断为MdDS之前,患者在多位医生的指导下进行了广泛的医学检查和影像学检查。MdDS是一种常见的误诊,诊断不足,未报告,和无法识别的状况。诊断MdDS需要详细的医疗和旅行史,伴随着一种理解,即症状在再次暴露于相同或相似的运动后得到改善。
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