ECT for Persistent Postural Perceptual Dizziness: A Case Report.

 Out on PubMed, from authors in Australia, is this case report:

Electroconvulsive Therapy for Persistent Postural Perceptual Dizziness: A Case Report.

Seiler N, McAlary M, Kanaan R, Nair R.Case Rep Psychiatry. 2025 Apr 10;2025:9996688. doi: 10.1155/crps/9996688. eCollection 2025.PMID: 40255647

The abstract is copied below:

Persistent postural perceptual dizziness (PPPD) is a functional vestibular disorder that can cause significant distress and impairment. Evidence for effective PPPD treatment is still limited and among suggested treatment regimes there have been mixed findings regarding neurostimulation. We present a case report of electroconvulsive therapy (ECT) for an individual with severe PPPD. The patient was a middle-aged woman admitted for acute suicidal ideation in the setting of peripartum depression and PPPD, following several unsuccessful antidepressant trials and a prior suicide attempt. She provided voluntary consent for ECT during admission, and 10 acute bifrontal ECT treatments were completed. The patient was substantially improved in PPPD, depressive, and anxiety symptoms, as well as quality of life. ECT may be beneficial in addressing PPPD symptoms. Further research is needed regarding the role of neurostimulation in PPPD.

Keywords: ECT; PPPD; electroconvulsive therapy; functional disorders; persistent postural perceptual dizziness; vestibular disorders.

The case report is here.

And from the text:

Here is an interesting case report with a new, hopefully rare, indication for ECT. The case is well described except for the en passant, minimalist note that this is in the context of postpartum depression.

Definitely worth a read, and kudos to our Australian colleagues for this contribution to the ECT literature.