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Experience from the First Paediatric Vestibular and Balance Clinic in a Multiracial Asian Setting
Jeyasakthy Saniasiaya1, Jeyanthi Kulasegarah1, Narayanan Prepageran1
1Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Wilayah Persekutuan Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Kuala Lumpur, 50603 Malaysia.
Summary
Vestibular migraine is the most common cause of dizziness in children, affecting nearly half of those evaluated. Early diagnosis of pediatric vestibular disorders is crucial for effective management.
Area of Science:
- Pediatric Neurology
- Audiology
- Vestibular Science
Background:
- Paediatric vestibular and balance services are increasingly recognized globally.
- Understanding the causes of dizziness in children is essential for timely diagnosis and management.
Purpose of the Study:
- To explore the aetiology of paediatric vestibular disorders.
- To present findings from a newly established Paediatric Vestibular and Balance Clinic.
Main Methods:
- A retrospective study of children under 18 referred to the clinic.
- Inclusion criteria: patients evaluated within the first year of clinic operation.
Main Results:
- 74 children (mean age 10.04 years) were included, with a slight female predominance.
- Abnormal vestibular function was found in 60.8% of participants.
- Vestibular migraine (VM) was the most frequent cause (47.3%), followed by vestibular/balance delay (7.8%).
Conclusions:
- Vestibular migraine is the leading cause of dizziness in children presenting to the clinic.
- Vestibular delay is a significant finding, particularly in children with speech and language delays.
- Increased awareness among healthcare providers and caregivers is vital for early identification and intervention of paediatric dizziness.
