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Related Experiment Video

Updated: Apr 19, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
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Vertigo and dizziness in children.

Klaus Jahn1, Thyra Langhagen, Florian Heinen

  • 1aGerman Center for Vertigo and Balance Disorders (DSGZ) bDepartment of Neurology cDepartment of Paediatric Neurology and Developmental Medicine - Dr von Hauner Children's Hospital, Klinikum Grosshadern, Ludwig-Maximilians University, Munich, Germany.

Current Opinion in Neurology
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Summary

Migraine-related syndromes are the most common cause of vertigo in children. Recognizing and treating dizziness in young patients, including somatoform vertigo, is crucial for effective management.

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Area of Science:

  • Pediatric Neurology
  • Neuro-otology
  • Vestibular Disorders

Background:

  • Vertigo and dizziness are common in children and adolescents, with most causes being benign and treatable.
  • Physicians need increased awareness of frequent causes of dizziness in the young population.

Purpose of the Study:

  • To review the frequent causes of vertigo and dizziness in children and adolescents.
  • To enhance physician alertness to the spectrum of dizziness etiologies in young patients.

Main Methods:

  • Review of epidemiological data on pediatric vertigo.
  • Analysis of diagnostic criteria for vestibular migraine and benign paroxysmal vertigo.
  • Evaluation of diagnostic tools such as video head impulses and vestibular-evoked myogenic potentials.

Main Results:

  • Migraine-related syndromes are the leading cause of vertigo in children.
  • Psychiatric comorbidity and somatization are present in about half of adolescents with vertigo.
  • Vestibular paroxysmia, treatable with carbamazepine, is a newly described entity in children.

Conclusions:

  • Pediatricians and neuro-otologists must recognize the diverse causes of vertigo in young individuals.
  • Modern vestibular function testing is reliable for assessing deficits.
  • While migraine-related vertigo can be managed similarly to adult migraine, somatoform vertigo requires specific approaches, especially in adolescent girls.