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[Benign paroxysmal vertigo in childhood]
D Pérez Plasencia1, L D Beltrán Mateos, A del Cañizo Alvarez
1Servicio de ORL y Patología, Cérvico-Facial, Hospital Clínico, Salamanca.
Acta Otorrinolaringologica Espanola
|July 3, 1998
Summary
Benign paroxysmal vertigo of childhood, a migraine equivalent, typically starts around age 4. This vestibular disorder in children generally has a favorable prognosis with normal neurological exams between episodes.
Area of Science:
- Neurology
- Pediatrics
- Otolaryngology
Background:
- Benign paroxysmal vertigo of childhood (BPVC) is a recurrent vertigo disorder in children.
- Diagnosis is often challenging due to episodic nature and normal interictal otoneurological findings.
Observation:
- This study presents six new cases of BPVC with a minimum one-year follow-up.
- All pediatric patients had a family history of migraine, suggesting a link to migraine disorders.
Findings:
- The findings support the hypothesis that BPVC is a migraine equivalent in children.
- Pathogenesis may involve transient vascular disturbances affecting vestibular pathways, similar to migraine mechanisms.
Implications:
- Understanding BPVC as a migraine equivalent aids in diagnosis and management.
- This research highlights the importance of family history in identifying children with vestibular migraine equivalents.