Electronystagmography finding in children with peripheral and central vestibular disorders

Salami, Angelo; Dellepiane, Massimo; Mora, Renzo; Taborelli, G; Jankowska, B.

doi:10.1016/j.ijporl.2005.05.001

Cited by 9 publications

(19 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According with other authors and our past experiences, made in adults and children, in the children affected by posttraumatic vertigo, the VOR and OKN mean gain reductions indicate that as a skull trauma can lead to an haemorrhage of the frontal and temporal area near the cortical projection of the vestibular pathway [5,14,15]. The presence of the same ENG abnormalities in the patients with migraine can be due to a transitory ischemia of the internal carotid and/or vertebro-basilar systems and to a successive vasodilatation: the final vasodilatation causes the migraine attack which follows vertigo [16].…”

Section: Discussionsupporting

confidence: 53%

“…On the base of past experiences VOR gain was calculated from the first three nystagmic eye movements; OKN gain was calculated for the first 20 s of optokinetic stimulation; VVOR gain was calculated from the first three shocks when the nystagmus was homodirectional to VOR and for the first 20 s of optokinetic stimulation when the nystagmus was homodirectional to OKN [5,6] (Tables 1, 2a and 2b).…”

Section: Methodsmentioning

confidence: 99%

“…The differential diagnostic process in children with vertigo is extensive and quite challenging: otitis media and middle ear effusion could be the most common causes of vertigo in children, but there are some problems in detecting the other causes for vertigo because they are one of most frequent diseases of childhood: the cause of vertigo can vary from orthostatic hypotension to a brain tumor, and thus, a structured approach is essential in avoiding unnecessary examinations and achieving a diagnosis [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Visual–vestibular interaction test in the diagnosis of vertigo in children

Salami

Dellepiane

Crippa

et al. 2008

International Journal of Pediatric Otorhinolaryngology

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 53%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Visual–vestibular interaction test in the diagnosis of vertigo in children

Salami

Dellepiane

Crippa

et al. 2008

International Journal of Pediatric Otorhinolaryngology

Self Cite

View full text Add to dashboard Cite

“…After detailed vestibular testing, all of the patients underwent ENG, which can record and evaluate the nystagmic response and allow central and peripheral vertigo to be distinguished. The pediatric patients could tolerate ENG easily [26] . Canal paresis was found in 21 patients after ENG.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Vestibular System and Etiology in Children with Unilateral Sensorineural Hearing Loss

Birdane¹,

İncesulu²,

Özüdoğru³

et al. 2016

Int Adv Otol

View full text Add to dashboard Cite

OBJECTIVE:The aim of this study was to evaluate the vestibular system of children with unilateral sensorineural hearing loss (USNHL), investigate the etiological factors of USNHL and analyze whether a genetic predisposition exists. MATERIALS and METHODS:Thirty-three children aged less than 18 years with USNHL, who visited the ear, nose, and throat (ENT) department between January 2004 and December 2012, were included in this study. Cases with conductive hearing loss were excluded from the study. The patients were subjected to etiologic, genetic, and ophthalmologic evaluation; radiologic imaging; electronystagmography (ENG); and vestibular evoked myogenic potential (VEMP) tests. The control group, which included 25 healthy children (13 males and 12 females), had undergone audiological assessment and were subjected to ENG and VEMP tests. RESULTS:All of the patients had severe-to-profound hearing loss. Mumps immunoglobulin G was positive in 22 (66.7%) of 33 patients. The 35delG mutation was not found in any of the patients. All of the patients underwent temporal computed tomography (CT) and magnetic resonance imaging (MRI). Inner ear anomaly was present in 51.5% of the patients. Overall, 21 of 31 ENG patients had canal paresis in the affected ear. The VEMP response was absent on the affected side in three patients. The n23 latency average of the patient group was longer than that of the control group. CONCLUSION:Because USNHL causes irreversible problems in children, early diagnosis and auditory rehabilitation are very important. As USNHL is accompanied by inner ear anomaly, children with USNHL should undergo temporal bone CT and MRI. To evaluate the vestibular system, ENG and VEMP are non-invasive and diagnostic tests.

show abstract

“…Rotasyon sandalyesi, elektronistagmografi (ENG), videonistagmografi (VNG), platform postürografi koopere hastalarda uygulanabilir. Vertiginöz çocuklarda yapılan ENG-VNG kayıtlarında yaklaşık %60 oranında anormallikler tespit edilmiştir (12)(13)(14). Güncel bir derlemede 2726 pediatrik vertigo olgusu değerlendirildiğinde, ayırıcı tanılar içerisinde ilk sırayı %23.8 ile vestibüler migren (VM) alırken, ikinci sırada %13.7 ile BPV ve üçüncü sırada ise %11.7 ile idiopatik veya tanımlanmamış grup gelmektedir (17).…”

Section: Tanısal Değerlendirmeunclassified

Vertigo in Children; Differential Diagnosis

AKCAN

2018

Turkish J Pediatr

View full text Add to dashboard Cite

korunması 3-6 yaş aralığında sağlanmaktadır ve yaşla birlikte dengeyi sağlamada vestibüler fonksiyon predominansı artıp görsel ve proprioseptif input predominansı azalmaktadır (3). Yaşları 5 ile 17 arasında değişen 60 sağlıklı çocuk üzerinde yapılan bir çalışmada, bilgisayarlı dinamik postürografi ile balans fonksiyonları değerlendirildiğinde yaşla birlikte dengeyi sağlamada periferik vestibüler sistem skorlarının belirgin oranda arttığı gösterilmiştir (4). Bu çalışma özellikle küçük çocuklarda semptomatolojinin neden daha farklı olduğuna ve çocukların neden daha hızlı kompanzasyon geliştirdiğine ışık tutmaktadır. Vestibüler sistem bozuklukları yaş gruplarına göre değişmekle birlikte kompleks mekansal davranış ve kognitif fonksiyonların gelişimini etkilemektedir (5). Yenidoğan döneminde bilateral vestibüler fonksiyon kaybı motor gelişimde gecikmeye neden GİRİŞ Vertigo, adölesan ve çocuklarda nadir rastlanılan bir şikayettir. O'Reilly ve ark. (1) yaklaşık 560000 farklı pediatrik hastada yaptıkları araştırmada; 4 yıllık süre içerisinde nonspesifik dengesizlik hissi prevalansını %0.4, periferal ve santral vestibulopati için %0.03 ve %0.02 olarak tespit etmişlerdir. Çocuklarda oranların bu kadar düşük olmasının nedeni, sıklıkla baş dönmesini tarif edememeleri ve bu durumun aileleri tarafından sakarlık, beceriksizlik olarak tanımlanıp baş dönmesinin göz ardı edilmesidir (2). Vestibüler bozukluklarda, baş dönmesi, dengesizlik hissi, bulantı, kusma gibi semptomlar sıklıkla görülür. Çocuklarda bu spektrum erişkinlerden farklı olabilir; baş ağrısı, karın ağrısı, anksiyete, ataksi sıklıkla tariflenen semptomlardır. Çocuklarda hareket halinde baş stabilitesinin

show abstract

Electronystagmography finding in children with peripheral and central vestibular disorders

Cited by 9 publications

References 18 publications

Visual–vestibular interaction test in the diagnosis of vertigo in children

Visual–vestibular interaction test in the diagnosis of vertigo in children

Evaluation of the Vestibular System and Etiology in Children with Unilateral Sensorineural Hearing Loss

Vertigo in Children; Differential Diagnosis

Contact Info

Product

Resources

About