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The spectrum of vertigo in children
1Department of Otolaryngology, Arkansas Children's Hospital, Little Rock, USA.
Objective:
To review the presentation, evaluation, and causes of vertigo in children.
Design:
A retrospective review of children who presented with the chief complaint of vertigo.
Patients:
Thirty-four children with a chief complaint of vertigo were seen in an ear, nose, and throat clinic during a 2 1/2-year period.
Outcome Measures:
Presenting symptoms, diagnostic tests, diagnoses established, and clinical course were evaluated.
Results:
Otitis media, benign paroxysmal vertigo of childhood, and migraine accounted for the vertigo in 50% of the children. Audiometry, tympanometry, and electronystagmography were the most helpful diagnostic tests, with abnormal results in seven, seven, and six patients, respectively. Of the 19 patients with adequate follow-up, 15 (79%) were improved or asymptomatic at the time of their last visit.
Conclusions:
Peripheral causes of vertigo, eg, otitis media, were noted most commonly. Evaluation of vertigo should include a complete history and physical examination, an audiogram, and a tympanogram. In select cases, electronystagmography, electroencephalography, and scanning of the brain or temporal bone should be performed. A favorable outcome was noted in most cases.