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Vestibular Syndromes in Childhood and Adolescence
Juliana Antoniolli Duarte1, Elisa Morais Leão1, Daniel Sobral Fragano1
1Department of Otorhinolaryngology and Head and Neck Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
International Archives of Otorhinolaryngology
|October 26, 2020
Summary
Pediatric vestibular disorders, often linked to migraine, are frequently diagnosed as benign paroxysmal vertigo of childhood (BPVC). Dietary guidance and vestibular rehabilitation show significant success in treatment.
Area of Science:
- Pediatric Neurotology
- Vestibular Disorders
- Migraine Equivalents
Background:
- Vestibular disorders affect 0.4%-15% of children, frequently presenting as episodic syndromes related to migraine.
- Understanding the diagnostic and therapeutic landscape of pediatric vestibular conditions is crucial.
Purpose of the Study:
- To evaluate diagnostic and therapeutic strategies for children experiencing vestibular signs and symptoms.
- To analyze the outcomes of various treatments in a pediatric neurotology setting.
Main Methods:
- Cross-sectional study analyzing 10 years of patient records from a pediatric neurotology clinic.
- Inclusion of sociodemographic, clinical, examination, treatment, and evolution data.
- Sample size of 117 pediatric patients.
Main Results:
- Benign paroxysmal vertigo of childhood (BPVC) was the most common diagnosis (41.9%), followed by vestibular migraine (16.2%).
- Vertigo was the primary complaint in 53.9% of cases; 66.7% had poor eating habits.
- Dietary guidance alone improved symptoms in 40.4%, while combined with vestibular rehabilitation, it achieved 80% success without medication.
Conclusions:
- BPVC is the predominant diagnosis in pediatric vestibular disorders, often associated with migraine history.
- Dietary guidance and vestibular rehabilitation are key to successful, non-pharmacological treatment.
- Effective management strategies emphasize lifestyle and targeted therapies over medication.
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