{"doi":"10.4088/pcc.23lr03518","title":"Creating Informed Interest in Mal De Débarquement Syndrome","abstract":"Mal de dbarquement syndrome (MdDS) is a chronic illness manifested by a persistent false sensation of non-spinning self-motion, such as rocking, swaying, bobbing, or gravitational pull in a particular direction.The case report by Williams et al. correctly identifies that MdDS is often complicated by psychiatric comorbidities, and that underrecognition of the illness among clinicians poses a significant additive burden on afflicted patients. 1Pertinently to the latter point, patients are said to make an estimated average of 7-19 visits to health-care professionals before their MdDS diagnosis, which can take several frustrating years and cost thousands of dollars for the visits, diagnostic tests, and travel expenses. 2,3Unfortunately however, the authors seem to have overlooked the publication of the expert consensus document on MdDS diagnostic criteria, which predates the case report by two years and takes some contrasting positions. 4Critically, the document, as previously noted, states that exposure to passive motion temporarily reduces symptoms of MdDS, which is a rather unique qualifier and diagnostic distinction from persistent postural perceptual dizziness. [4][5]][6][7][8] The document also states that clinical structural brain imaging is of low yield in the diagnosis of MdDS as incidental findings are rather common. 5,9e journal readership should also be made aware that the chance of a positive outcome of MdDS has recently significantly improved with the discovery that a central vestibular mechanism, known as velocity storage, may be maladapted in patients with MdDS. [10][11]][12] Velocity storage is a major element of the vestibulo-ocular reflex (VOR), underpinned by an interaction between the bilateral vestibular nuclei in the brainstem and the posterior vermal cerebellum. 13,14Activated by head rotation, large-field visual motion, or tactile cues for","journal":"The Primary Care Companion For CNS Disorders","year":2023,"id":386450,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9597,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":382084,"name":"Sergei B. Yakushin","orcid":null,"position":1,"is_corresponding":false},{"id":1155012,"name":"Catherine Cho","orcid":"0000-0001-5498-7064","position":2,"is_corresponding":false},{"id":1155011,"name":"Jun Maruta","orcid":"0000-0002-5054-6605","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-19T01:18:00.717763Z","pmid":"37471494","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}