Is mal de débarquement rare?

Mal de débarquement syndrome is rare. Though symptoms usually get better within 24 hours, they can last for months or even years in some cases. It can be difficult to navigate the feelings and emotions you may have, especially with prolonged symptoms. There are support groups for people with MdDS.



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However, in MDD, significant balance impairment can persist for months to years. Symptoms may diminish in time or may reappear spontaneously or after another exposure.

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In some cases, MdDS resolves on its own within a year. Prevention and symptom management for MdDS includes stress management, regular exercise, healthy eating, and rest. Clonazepam is an anti-seizure drug that is sometimes effective at low doses in treating symptoms of MdDS.

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MdDS is different for each patient, so walking on beach is OK for some but not for others. Avoid virtual reality and driving simulator experiences. If you are still experiencing symptoms, it is recommended not to walk on a treadmill and to use an elliptical machine.

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In addition, individuals with MdDS have high comorbidities with migraine, increased visual sensitivity, and mood disorders, e.g., depression and anxiety (1, 2). The association with stress should also be further investigated, since it is known that stress can exacerbate MdDS symptoms (18).

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There is no test to diagnose MdDS, so your ENT doctor will ask you questions about the symptoms and work to understand the patterns of your MdDS episodes. Your ENT doctor may prescribe certain medicines or vestibular therapy to help you find relief from your symptoms.

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MdDS is different for each patient, so walking on beach is OK for some but not for others. Avoid virtual reality and driving simulator experiences. If you are still experiencing symptoms, it is recommended not to walk on a treadmill and to use an elliptical machine.

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This study surveyed people with MdDS and individuals from the general population about visual health and found that the MdDS group reported a higher frequency of visual dysfunction symptoms. Compared with motion-triggered patients, non-motion patients reported unique visual symptoms.

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Most of the patients with MdDS I've seen had many of these symptoms and what made a dramatic difference for more than half was an infusion of magnesium, often combined with a vitamin B12 injection (another common deficiency). Some patients were already taking oral magnesium supplement, but it did not make a difference.

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