Table 1.
Terminology for comorbid balance disorders, anxiety and migraine.
Term | Taxonomic status | Visual flow and motion sensitivity (symptoms) | Vestibular/balance disorder (signs) | Role of anxious temperament | Initial clinical appearance | Original purpose | Ref. |
---|---|---|---|---|---|---|---|
Space and motion discomfort | Dimension | Necessary | Likely | Low | Anxiety clinic | Identify balance disorders among anxiety patients | [1,23,24] |
Space and motion phobia | Syndrome | Necessary | Likely | High | Anxiety clinic | Identify and treat ‘excessive space and motion discomfort’ | [1] |
Visual vertigo | Syndrome | Necessary | Possible | High | Otoneurology clinic | Identify new balance disorder | [28] |
Chronic subjective dizziness | Syndrome | Associated | Not necessary | High | Otoneurology clinic | Identify balance patients in need of psychiatric treatment | [20,29] |
Primary somatoform vertigo | Syndrome | Associated | None | High | Otoneurology clinic | Identify balance patients in need of psychiatric treatment, primary gain | [19,30] |
Secondary somatoform vertigo | Syndrome | Augmentative | Not necessary | High | Otoneurology clinic | Identify cause for some balance symptoms | [19,30] |
Phobic postural vertigo | Diagnosis | Common | Assumed none | Low | Otoneurology clinic | Identify balance patients in need of psychiatric treatment | [27] |
Migrainous vertigo/vestibular migraine | Diagnosis | Prominent | By definition | Likely | Otoneurology clinic | Identify cause for some balance symptoms | [7,11,18] |
Psychiatric dizziness | Symptom | None | None | High | Otoneurology or psychiatric clinic | Provide Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition diagnosis | [1] |
Psychiatric overlay | Interactive factor | Augmentative | By definition | High | Psychiatric clinic | Identify factors contributing to poor adjustment to dizziness | [1] |
Migraine– anxiety related dizziness | Diagnosis | Prominent | By definition | High | Otoneurology clinic | Account for comorbidity | [6] |