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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.
Objective:
Paediatric vestibular and balance services have recently gained attention across the globe. We present our one-year experience exploring the aetiology of paediatric vestibular disorders in a recently established Paediatric vestibular and balance clinic.
Methods:
Children and adolescents under 18 referred to the Paediatric Vestibular and Balance Clinic for evaluation were included.
Results:
74 children were included in this study (Mean age: 10.04 ± 3.9). We found a slight female predominance, n = 38 (51.35%). Abnormal vestibular function was observed in 60.8% of children. Vestibular migraine (VM) was the most common aetiologic cause, n = 35 (47.3%), followed by vestibular/balance delay (n = 11).
Conclusion:
The most prevalent cause of dizziness was VM, followed by vestibular delay found in children with isolated speech and language delay. We highlight the importance of awareness of various causes of dizziness in children amongst carers and physicians to diagnose and manage it early.
