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Related Experiment Video

Updated: Jul 15, 2025

Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform

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Published on: May 23, 2013

Benign paroxysmal positional vertigo in a young child.

Fred Chuang¹, Matthew Corbitt², Richard Tjahjono²

¹Otorhinolaryngology, Cairns Base Hospital, Cairns, Queensland, Australia fred_ch@live.com.

BMJ Case Reports

|October 3, 2023

Summary

Benign paroxysmal positional vertigo (BPPV) in young children can be effectively treated with the Epley maneuver. This case study highlights successful management of pediatric BPPV, resolving vertigo symptoms.

Keywords:

Ear, nose and throat Emergency medicine Neurology (drugs and medicines)Paediatrics (drugs and medicines)

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Area of Science:

Pediatric Otolaryngology
Neurology
Vestibular Disorders

Background:

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.
Diagnosis in early childhood can be challenging due to communication barriers.
Concerns for secondary causes necessitate thorough investigation.

Observation:

A young girl presented with episodic dizziness upon supine repositioning.
Dix-Hallpike testing revealed geotropic nystagmus, suggesting lateral canal BPPV.
Neurological examination, MRI, and audiometry were performed to rule out other pathologies.

Findings:

Two sessions of the Epley maneuver successfully resolved the patient's vertigo.
The child remained symptom-free at a 3-month follow-up.
This indicates the efficacy and safety of the Epley maneuver in pediatric BPPV.

Implications:

The Epley maneuver is a viable treatment for BPPV in young children.
Early diagnosis and treatment can prevent prolonged symptoms and anxiety.
This case supports the use of bedside testing and conservative management for pediatric BPPV.