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Related Experiment Video

Updated: Apr 5, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

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Vertigo in childhood: proposal for a diagnostic algorithm based upon clinical experience.

A P Casani¹, I Dallan¹, E Navari¹

¹Department of Medical and Surgical Pathology, Otorhinolaryngology Unit, Pisa University Hospital, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale

|August 7, 2015

Summary

A new diagnostic algorithm simplifies identifying the causes of vertigo in children. It helps clinicians accurately diagnose dizziness, distinguishing common conditions like vestibular migraine from rarer causes.

Keywords:

Benign paroxysmal vertigo Diagnostic algorithm Head trauma Vertigo Vestibular migraine

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Area of Science:

Pediatric Neurology
Otolaryngology
Vestibular System Disorders

Background:

Vertigo in childhood is challenging to diagnose.
Accurate diagnosis requires careful evaluation of anamnestic features.

Purpose of the Study:

To develop a simple diagnostic algorithm for childhood vertigo.
To guide clinical suspicion and diagnostic assessment.

Main Methods:

Retrospective chart review of 37 children with vertigo.
Clinical and instrumental vestibular examinations.
Exclusion of neurological disorders and genetic diseases.

Main Results:

Vestibular migraine (38%) was the most common cause.
Acute labyrinthitis/neuritis and somatoform vertigo each accounted for 16%.
Benign paroxysmal vertigo (11%) and post-traumatic vertigo (8%) were also identified.

Conclusions:

The proposed algorithm aids in diagnosing dizziness in children without neurological findings.
Key diagnostic factors include vertigo's temporal features and hearing impairment.
A separate algorithm is suggested for suspected traumatic vertigo.