What is Mal de Débarquement (MdD) syndrome?

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Last updated: May 6, 2025View editorial policy

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From the Research

Mal de Debarquement Syndrome (MdDS) patients should be treated with a standardized approach using vestibulo-ocular reflex (VOR) readaptation, which has been shown to provide relief for two-thirds of patients, irrespective of the onset type, as demonstrated in the most recent and highest quality study 1.

Treatment Options

  • VOR readaptation treatment, which involves optokinetic stimulation (OKS) paired with a fixed head roll, has been proposed as a standardized method for treating MdDS, with a success rate of 64.1% 1.
  • Medications such as benzodiazepines and antidepressants may also be beneficial in reducing symptoms, as reported by patients in a retrospective survey 2.
  • Non-pharmaceutical approaches, including lifestyle modifications and stress management techniques, may also be helpful in managing symptoms.

Diagnosis and Treatment Planning

  • Early intervention with a neurologist or vestibular specialist is recommended for proper diagnosis and treatment planning.
  • A comprehensive evaluation, including epidemiological details, diagnostic procedures, and symptom triggers, is necessary to develop an effective treatment plan.

Key Considerations

  • The pathophysiological mechanism of MdDS is poorly understood, and treatment options are limited.
  • The condition can have a significant impact on quality of life, and effective treatment is essential to improve symptoms and reduce morbidity.
  • The most recent and highest quality study 1 provides the best evidence for guiding treatment decisions, and its findings should be prioritized in clinical practice.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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