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Updated: Jun 24, 2026
14:09
Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
[A ten-year-old girl with dizziness]
Olav Skatvedt1, Svein Mjøen, Alan Sealy
1Ullensaker Øre-Nese-Hals.
Summary
Benign Paroxysmal Positional Vertigo (BPPV) in children is more common than previously believed. Childhood BPPV may resolve spontaneously through normal play activities, challenging existing medical views.
Area of Science:
- Neurology
- Otolaryngology
- Pediatrics
Background:
- Childhood dizziness presents variably, with migraines and ear infections being common causes.
- Less frequent causes include head injury and central nervous system pathology.
- Benign Paroxysmal Positional Vertigo (BPPV) is conventionally considered rare in children.
Observation:
- A case study of a 10-year-old girl experiencing acute positional vertigo attacks.
- Investigations confirmed a canalithiasis variant of BPPV in the lateral canal.
- This case challenges the notion that BPPV does not occur in childhood.
Findings:
- Childhood BPPV is likely more prevalent than currently recognized.
- Spontaneous resolution of BPPV may occur through physical activities common in childhood, such as running and jumping.
- This self-correction mechanism might explain why fewer cases are formally diagnosed or treated.
Implications:
- Revising the understanding of pediatric vestibular disorders is necessary.
- The role of physical activity in the spontaneous recovery of pediatric BPPV warrants further investigation.
- This finding may influence diagnostic approaches and treatment strategies for dizziness in children.
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