Course Description — The course will begin with a didactic overview of new developments in diagnosis and management of patients with PPPD (8 minutes), continue with a case-based discussion highlighting common challenges in diagnosis and treatment that will be conducted interactively with the audience (17 minutes), and conclude with time for open questions from the audience (5 minutes).

Outcome Objectives — At the conclusion of this course, audience members will be able to: (1) incorporate simple screening tools into their practices to identify patients who are at risk for developing PPPD and those who likely have the disorder, (2) confidently manage the diagnostic evaluation of patients with PPPD, (3) educate patients about pathophysiologic mechanisms underlying PPPD to help them understand the diagnosis and rationale for each treatment intervention, and (4) coordinate effective multi-disciplinary treatment plans for patients with PPPD and commonly comorbid conditions.

Background — The chronic vestibular disorder of persistent postural-perceptual dizziness (PPPD) was defined by the Barany Society for the International Classification of Vestibular DIsorders in 2017. Since then, clinical epidemiologic investigations have found PPPD to be the most common cause of chronic vestibular and balance symptoms in otology/neurotology and vestibular medicine. Systematic research also has advanced knowledge about its differential diagnosis, likely pathophysiologic mechanisms, and expected outcomes of available treatments. This information has improved our ability to efficiently and effectively detect and treat patients with PPPD. The course will provide attendees with a review of these developments with an emphasis on practical applications for clinical practice and awareness of ongoing investigations by research teams worldwide.