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Benign paroxysmal vertigo in childhood: a long-term follow-up

U Lindskog1, L Odkvist, L Noaksson

  • 1Department of Health and Environment, Division of Pediatrics, Faculty of Health Sciences, Linköping, Sweden.

Headache
|December 23, 2004
PubMed

Insights

Benign paroxysmal vertigo in children typically resolves within years. Long-term follow-up shows no lasting balance issues and a low risk of developing into migraine.

Area of Science:

  • Pediatric Neurology
  • Otolaryngology

Background:

  • Benign paroxysmal vertigo (BPV) presents as sudden, brief vertigo attacks in children.
  • Attacks are often frequent initially, diminishing over time.

Purpose of the Study:

  • To assess the long-term outcome of benign paroxysmal vertigo in children.
  • To determine if BPV is a precursor to other neurological conditions, such as migraine.

Main Methods:

  • Follow-up study of 19 children diagnosed with BPV between 1975-1981.
  • Audiometry and electronystagmography performed on 16 participants.
  • Long-term follow-up conducted 13-20 years post-diagnosis.

Main Results:

  • All participants had resolution of vertigo and balance disorders.
  • Onset age ranged from 5 months to 8 years; symptom duration varied from 3 months to 8 years.
  • 21% developed migraine, slightly higher than the general population; 39% had a family history of migraine.

Conclusions:

  • Benign paroxysmal vertigo in children has a favorable long-term prognosis.
  • BPV is not a general precursor to migraine, despite a slightly elevated incidence in some cases.

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