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Published on: January 12, 2019
[Vertigo in children:composition and clinical characteristics]
1Department of Otolaryngology Head and Neck Surgery, the Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, 200233, China.
Insights
Benign Paroxysmal Vertigo of Childhood (BPVC) and Vestibular Migraine (VM) are common causes of vertigo in children. Early diagnosis using medical history and vestibular tests is crucial for effective treatment.
Area of Science:
- Pediatrics
- Neurology
- Otolaryngology
Background:
- Vertigo in children is less common than in adults.
- Understanding the causes and characteristics of pediatric vertigo is essential for accurate diagnosis and management.
Purpose of the Study:
- To investigate the composition and characteristics of vertigo in pediatric patients.
- To identify the most frequent causes of vertigo in children.
Main Methods:
- Retrospective analysis of medical records, diagnoses, and examinations.
- Inclusion of 46 pediatric patients (≤17 years old) diagnosed with vertigo.
- Statistical analysis of common vertigo causes in children.
Main Results:
- Benign Paroxysmal Vertigo of Childhood (BPVC) was the most common cause (41.3%), followed by Vestibular Migraine (VM) (23.9%) and Benign Paroxysmal Positional Vertigo (BPPV) (8.7%).
- BPVC patients were youngest at onset.
- Headaches were more frequent in VM patients; family history of vertigo/migraine was noted in VM patients.
Conclusions:
- BPVC, VM, and BPPV are the predominant causes of vertigo in children.
- Comprehensive evaluation including medical history, physical examination, and vestibular function tests aids in accurate diagnosis.
- Further research into pediatric vertigo is warranted.
Abstract:
Objective: To explore composition and characteristics of vertigo in children. Method:The diagnosis, medical history and examinations of 46 patients (≤17 years old) with vertigo were studied retrospectively. Result:Of the 46 children patients with vertigo enrolled in this study, 19 patients were with BPVC(41.3%), 11 patients with VM(23.9%),4 patients with BPPV(8.7%), 3 patients with unclassifiable vestibular syndrome(6.5%), 2 patients with Meniere's disease (4.3%), 1 patient with sudden deafness with vertigo, 1 patient with labyrinthitis, 1 patient with vestibular paroxysmal, 1 patient with vestibular neuritis, 1 patient with head trauma, 1 patient with light cupula, 1 patient with benign paroxysmal torticollis (2.2%, respectively). The statistical analysis was conducted among 4 kinds of the most common causes of vertigo in children. There was no significant differences in sex composition among different groups(P>0.05). The mean age and mean age of onset in patients with BPVC were the youngest(P<0.05). Headache was complained more often in patients with VM(P<0.05) and there was no difference in other accompanying symptoms (such as nausea, vomiting and tinnitus) among each groups(P>0.05).Most patients with VM had family history of vertigo or migraine, but not in patients with VM and patients with BPVC(P>0.05). Conclusion:The most common vertigo in children were BPVC, VM and BPPV. The medical history, physical examinations and vestibular function tests can help doctors to diagnose more correctly.
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