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Benign Positional Paroxysmal Vertigo in Children
Cristiano Balzanelli1, Daniele Spataro2, Luca Oscar Redaelli de Zinis3,4
1Vertigo Center-San Bernardino Policlinic of Salò, 25087 Brescia, Italy.
Audiology Research
|February 4, 2021
Summary
Benign positional paroxysmal vertigo (BPPV) affects 10.2% of children evaluated for balance issues. Early diagnosis and treatment of this common vertigo in children are crucial for restoring daily activities.
Area of Science:
- Pediatric Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Benign positional paroxysmal vertigo (BPPV) is a common cause of vertigo.
- Its prevalence and clinical presentation in pediatric populations require further investigation.
Purpose of the Study:
- To determine the prevalence of BPPV in children under 15 years old.
- To analyze the clinical characteristics and affected semicircular canals in pediatric BPPV cases.
Main Methods:
- A cohort of 423 children (median age 11) underwent vestibular assessment for balance disorders.
- Dix-Hallpike and Roll-Supine tests with video-infrared goggles were used to detect positioning nystagmus.
Main Results:
- BPPV was diagnosed in 10.2% (43/423) of the evaluated children.
- The posterior semicircular canal was the most commonly affected (79%), followed by the horizontal canal (21%).
- No cases of apogeotropic bilateral or anterior canal BPPV were observed.
Conclusions:
- BPPV is a significant cause of vertigo in children.
- Prompt evaluation and management of pediatric BPPV are essential to alleviate symptoms and restore daily function, mitigating associated anxiety.
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