Module · Glossary
Glossary
31 terms covering the vocabulary of dizziness and vertigo-like symptoms — from BPPV and presyncope to PPPD and visual dependency. Each definition links to related terms and, where applicable, to the relevant section of the chapter. Bookmark terms to revisit; search by term, alias, or any word in a definition.
B
Benign paroxysmal positional vertigo
BPPVA common cause of vertigo with brief episodes of spinning triggered by head-position change, from dislodged otoconia in the semicircular canals.
C
Canalith repositioning manoeuvres
Therapeutic head-movement sequences (e.g. the Epley manoeuvre) that relocate displaced otoconia from a semicircular canal back to the utricle in BPPV.
Central vertigo
Vertigo from pathology in the brainstem, cerebellum, or cerebral cortex, often with neurological signs such as diplopia, dysarthria, and ataxia.
Cervicogenic dizziness
Dizziness or imbalance from abnormal proprioceptive input from the cervical spine, often after whiplash or with cervical spondylosis.
Cognitive behavioural therapy
CBTA psychological treatment effective for functional dizziness, anxiety, and PPPD; it targets maladaptive thoughts and behaviours.
D
Disequilibrium
A sensation of imbalance or unsteadiness while walking or standing, without any perception of movement — often in the elderly or with proprioceptive/cerebellar dysfunction.
Dix-Hallpike test
A diagnostic positional test for posterior-canal BPPV that provokes vertigo and nystagmus through head positioning.
H
Head impulse test (HIT)
head impulse testA bedside test of the vestibulo-ocular reflex used to detect peripheral vestibular hypofunction.
Hypervigilance
Excessive sensory self-monitoring, common in anxiety-related conditions and PPPD, that helps perpetuate symptoms.
M
Mal de débarquement syndrome
MdDSA disorder of motion perception in which a persistent rocking or swaying follows disembarking from a cruise, flight, or long journey.
Ménière's disease
A peripheral vestibular disorder from endolymphatic hydrops, with episodic vertigo, fluctuating hearing loss, tinnitus, and aural fullness.
Multisensory integration
The brain's combining of visual, vestibular, and proprioceptive inputs to maintain balance and orientation.
N
Nonspecific dizziness
Vague, ill-defined sensations — light-headedness, wooziness, disconnection — often from psychiatric or metabolic causes.
O
Optokinetic stimulation
Visual rehabilitation using moving visual patterns to reduce visual vertigo by retraining the visual–vestibular system.
P
Peripheral vertigo
Vertigo from dysfunction of the inner-ear structures (labyrinth or vestibular nerve), typically with intense spinning and sometimes hearing symptoms.
Persistent postural-perceptual dizziness
PPPDA chronic functional vestibular disorder with non-vertiginous dizziness and unsteadiness ≥3 months, worse with upright posture and visual motion, often following an initial vestibular or psychological event.
Postural (orthostatic) hypotension
orthostatic hypotensionA sustained fall in blood pressure on standing (≥20 mmHg systolic or ≥10 mmHg diastolic), leading to presyncope; common in the elderly or on antihypertensives.
Presyncope
A sensation of light-headedness and impending faint, usually from transient cerebral hypoperfusion.
Proprioception
Sensory information from muscles and joints contributing to the body's sense of position and movement.
R
Romberg test
A clinical test for postural instability used to detect sensory ataxia; a positive result suggests proprioceptive or vestibular impairment.
S
Selective serotonin reuptake inhibitors
SSRIsA class of antidepressants effective in managing PPPD, MdDS, and psychogenic dizziness.
Sensory reweighting
The adaptive process by which the brain shifts reliance among visual, vestibular, and proprioceptive inputs to maintain balance.
Simulator-based rehabilitation
Use of controlled virtual environments (including VR) to simulate motion and treat visual vertigo or balance disorders.
T
Tilt-table test
A diagnostic tool for presyncope and autonomic dysfunction, monitoring cardiovascular responses to changes in posture.
V
Vestibular adaptation therapy
A rehabilitation strategy that retrains the brain to compensate for vestibular deficits through repeated, graded motion exposure.
Vestibular neuritis
Acute inflammation of the vestibular nerve causing sudden, prolonged vertigo without hearing loss.
Vestibular rehabilitation therapy
VRTA customised physical-therapy programme to improve balance and reduce dizziness in vestibular dysfunction.
Vestibulo-ocular reflex
VORA reflex that stabilises vision during head movement by coordinating eye movement with head position.
Visual dependency
Over-reliance on visual input for balance, often from vestibular deficits, making patients prone to visual vertigo.
Visual vertigo
A condition in which complex visual stimuli — patterned floors, crowded or moving scenes — provoke dizziness, usually from visual dependency.
W
Whiplash injury
A rapid back-and-forth movement of the neck, often from a rear-end collision, that can result in cervicogenic dizziness.