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Persistent Postural Perceptual Dizziness (PPPD) occurs when the brain stays stuck in “high alert” mode. This leads to symptoms on more days than not, for at least three months. Unlike some episodic vestibular conditions, PPPD doesn’t cause spinning vertigo. Instead, symptoms tend to feel like rocking, swaying, unsteadiness, or floating. What causes it? PPPD often develops after a triggering event, like BPPV, vestibular neuritis, or even vestibular migraine. The brain essentially gets “stuck” in
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