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After a prolonged period of passive motion, a nonvertiginous sense of dizziness may be experienced when the subject returns to a stationary environment. Patients with this syndrome, referred to as mal de debarquement (MDD), describe a sensation of rocking, tilting, or swaying that may last from hours to years and that is generally most marked when they are stationary.1,2⇓ Possible explanations for MDD have included abnormal adaptation to motion, otolith dysfunction, migraine, or psychogenic mechanisms.1,3⇓ I describe a patient whose symptoms closely mimicked the subjective head motion dynamics associated with travel in two different cars. This case supports the contention that MDD results from an aberrant adaptive response to passive motion.
Case report.
A 55-year-old woman sought treatment for a 4-year history of dizziness. She described her symptoms as a sense of rocking and pitching. These symptoms invariably followed prolonged driving trips, typically occurred in episodes lasting for hours, …
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