Abstract:Persistent postural-perceptual dizziness (PPPD) is one of the most common types of dizziness in the clinic.It has two characteristics: close relation with emotional disorders (anxiety and depression) and visual dependence, but its pathogenesis is still not clear. Due to lack of objective examination methods, it is easy to be misdiagnosed. In recent years, the development of neuroimaging helps us to further explore the pathophysiological mechanism of PPPD. This paper reviews the progress in neuroimaging studies on resting-state functional magnetic resonance imaging, task-state functional magnetic resonance imaging, and structural functional magnetic resonance imaging in patients with PPPD. It is found that the two characteristics of PPPD may be related to the changes in structure or function of related brain areas, which provides new insights for the diagnosis and treatment of PPPD.