Treatment

The medical literature describes MdDS as a self-limiting condition. This is medical-speak for saying that it usually eventually disappears without any direct treatment. It also means that there is currently no effective method known for curing MdDS. In particular, traditional vertigo-treatment medications that work for other forms of dizziness, inner ear disorders, or motion sickness, appear to have little effect for the MdDS sufferer. Benzodiazepines, such as Valium have been known to help manage some of the symptoms in MdDS patients, but there is always a worry that these are habit-forming and may prolong the eventual disappearance of the condition.

Some sufferers are helped with vestibular rehabilitation/therapy (commonly referred to as the Cawthorne-Cooksey exercises), particularly if the sufferer has an actual balance problem, that is to say unsteady on their feet. Anti-depressants, such as selective serotonin reuptake inhibitors (SSRI’s) help some to cope with the symptoms of MdDS. However, they are ineffective when it comes to relieving the visual problems and motion sensations associated with this condition.

 

Structural brain imaging is normal in MdDS, as are tests of inner ear function. Also neurological exams are typically normal in MdDS

 

MdDS is an extremely understudied disorder and can lead to a tremendous deal of disability, not least because the symptoms are under diagnosed. Quite simply, more options are needed for treating patients with MdDS.