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To the Editor: In the article by Professor Brandt,1 table 2, which is headed "Forms of psychogenic vertigo and dizziness (according to DSM-IV classification)," conveys the impression that postural phobic vertigo is a recognized diagnostic entry in the DSM-IV.2 We wish to point out that this is not the case, and that the existence of postural phobic vertigo as a distinct clinical entity can be challenged.
Brandt may be right that psychogenic vertigo is common, but determining the actual occurrence may be difficult. Unlike other causes of vertigo (e.g., benign paroxysmal positional vertigo), it is almost impossible to confirm the diagnosis of psychogenic vertigo. In other areas of neurology, the clinician obtains …
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