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Vertigo and Dizziness in Children: An Update
Virginia Fancello1, Silvia Palma2, Daniele Monzani3
1ENT & Audiology Unit, Department of Neurosciences, University Hospital of Ferrara, 44124 Cona, Italy.
Insights
Vestibular Migraine is the most common cause of vertigo in children, with prevalence increasing with age. A multidisciplinary approach is vital for diagnosis and treatment of paediatric vertigo.
Area of Science:
- Pediatric Neurology
- Otolaryngology
- Clinical Dizziness Research
Background:
- Vertigo and dizziness are uncommon in children but impact quality of life.
- Limited data exists on the prevalence of pediatric vertigo causes.
- Understanding vertigo aetiologies in children is crucial for effective management.
Purpose of the Study:
- To systematically review the prevalence of different vertigo aetiologies in the pediatric population.
- To identify the most common causes of vertigo in children.
- To analyze age-related trends in pediatric vertigo.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Searched Medline and Embase databases from January 2011 to September 2021.
- Included 7 studies after screening 1094 manuscripts.
Main Results:
- Analyzed data from 2470 pediatric patients.
- Vestibular Migraine was the most frequent diagnosis.
- Audio-vestibular disorders were the second leading cause, increasing with age.
- A significant percentage of cases remained undiagnosed.
Conclusions:
- Vertigo in children necessitates a multidisciplinary approach involving pediatricians, neurologists, and otolaryngologists.
- Comprehensive evaluation is key for successful therapy and parental reassurance.
- Further research is needed to clarify the aetiology in a subset of pediatric vertigo patients.
Background:
Vertigo and dizziness are relatively infrequent in paediatric patients, but specific data on the prevalence of these disorders are limited and influenced by various factors, including the age of the examined population. These conditions often have a significant impact on patients' and parents' quality of life. The aim of this paper is to investigate the prevalence of different aetiologies of vertigo in the paediatric population through a systematic review.
Methods:
According to PRISMA guidelines, a systematic review of the literature was performed. Medline and Embase were searched from January 2011 through to 10 September 2021. The search yielded 1094 manuscripts, which were reduced to 7 upon the application of inclusion criteria.
Results:
A total of 2470 paediatric patients were evaluated by the selected papers. Vestibular Migraine was the most frequently diagnosed condition, occurring alone or in association with other diseases. Overall, audio-vestibular disorders represented the second cause of vertigo, and the prevalence appears to increase according to age growth. Over the years, even though we assisted in the amelioration of diagnostic rates, partially related to an improvement in diagnostic tools, the aetiology of vertigo remains still unclear in a variable percentage of patients.
Conclusion:
Vertigo in children, despite being an uncommon symptom, requires a multidisciplinary approach, often involving Paediatricians, Neurologists and Otorhinolaryngologists. A comprehensive evaluation of children suffering from vertigo is crucial for establishing a successful therapy and reducing parental worries.
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