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Value of imaging studies in vertiginous children
R Niemensivu1, I Pyykkö, L Valanne
1Department of Otorhinolaryngology, Helsinki University Central Hospital, Helsinki, Finland. Riina.niemensivu@hus.fi <Riina.niemensivu@hus.fi>
International Journal of Pediatric Otorhinolaryngology
|June 21, 2006
Summary
Head imaging is beneficial for children experiencing vertigo with neurological deficits, headaches, or head trauma. If vertigo is the sole symptom, imaging is not diagnostically helpful.
Area of Science:
- Pediatric Neurology
- Diagnostic Imaging
- Neuro-oncology
Background:
- Head imaging in children is costly and can be distressing.
- Anesthesia may be required for pediatric imaging procedures.
- Identifying appropriate candidates for head imaging is crucial.
Purpose of the Study:
- To ascertain which pediatric patients with vertigo benefit most from head imaging.
- To refine indications for head imaging in pediatric vertigo cases.
Main Methods:
- Retrospective chart review of children under 18 referred for head CT or MRI.
- Analysis of 87 pediatric patients with vertigo at a tertiary referral center over one year.
Main Results:
- 37 of 87 children (43%) showed abnormalities on head imaging.
- New findings included brain tumors, infections, and demyelinating lesions.
- 19 of 23 children with new findings had concurrent neurological deficits.
Conclusions:
- Head imaging is indicated for vertiginous children presenting with neurological deficits, persistent headaches, or following head trauma.
- Imaging is not recommended for isolated vertigo without trauma as it offers limited diagnostic value.
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