RT Book, Section
A1 Hain, Timothy C.
A1 Helminski, Janet O.
A2 Herdman, Susan J.
A2 Clendaniel, Richard A.
SR Print(0)
ID 1135015897
T1 Medical Management of Mal De Debarquement Syndrome
T2 Vestibular Rehabilitation
YR 2014
FD 2014
PB F. A. Davis Company
PP New York, NY
SN 9780803639706
LK fadavispt.mhmedical.com/content.aspx?aid=1135015897
RD 2024/04/19
AB Mal  de  débarquement  syndrome  (MDDS),  literally,  “sickness  of  disembarkment,”  refers  to  prolonged  and  inappropriate  sensations  of  movement  after  exposure  to  motion.  The  syndrome  typically  follows  a  7-day  sea  voyage,  but  it  has  also  been  observed  following  extended  airplane  travel,  train  travel,  and  space  flight.1  Symptoms  include  rocking  and  swaying  accompanied  by  imbalance.  MDDS  is  distinguished  from  ordinary  motion  sickness,  seasickness  (mal  de  mer),  and  “land-sickness”  by  persistence  of  symptoms  for  a  month  or  longer.  Additionally,  unlike  disorders  of  the  inner  ear,  most  individuals  with  MDDS  report  that  their  symptoms  remit  with  re-exposure  to  motion,  such  as  driving  a  motor  vehicle.2  A  typical  case  history  is  as  follows:  A  50-year-old  woman  went  on  her  first  ocean  cruise.  She  had  some  motion  sickness  on  the  cruise,  which  responded  to  transdermal  scopolamine.  Immediately  after  returning  from  the  cruise  and  getting  onto  solid  ground,  she  developed  imbalance  and  a  rocking  sensation,  accompanied  by  fatigue  and  difficulty  concentrating.  Her  description  was  “Imagine  feeling  like  you  are  on  rough  seas  24  hours  a  day,  7  days  a  week.”