Etiology and Clinical Characteristics of Pediatric Dizziness

Lee, Hyung Min; Park, Jihun; Lee, Bumsang; Lee, Kon Hee; Park, Su Kyoung; Chang, Jiwon

doi:10.3342/kjorl-hns.2017.00710

Cited by 2 publications

(2 citation statements)

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“…According to several studies, the most common diseases that occur in pediatric dizzy patients are vestibular migraine of childhood (VMC), recurrent vestibulopathy of childhood (RVC), and orthostatic dizziness [5,6]. Also, the causes of pediatric dizziness vary according to age category; RVC and VMC are most common in the preschool age group, while RVC, VMC, and psychogenic vertigo are common in the school-age group, and VMC, orthostatic dizziness are common in the adolescent group [5,7].…”

Section: Introductionmentioning

confidence: 99%

“…As one of the mechanisms explaining BPPV is age-related atrophy of the utricle, BPPV is generally accepted as being most common in adults, while it is regarded as a rare entity in children [4,5,7]. BPPV of the posterior semicircular canal (PSCC) in pediatric patients was first reported in 1987 [8], and lateral semicircular canal (LSCC) BPPV was reported in 2003 [9].…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

An,

Kim,

Park

et al. 2024

JCM

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Background: Benign paroxysmal positional vertigo (BPPV) is characterized by brief, intense episodes of vertigo triggered by abrupt changes in head position. It is generally accepted as being most common in adults, while it is regarded as rare in children. It is necessary to compare the disease between pediatric and adult patients for a better understanding of the disease’s characteristics and its natural history. This study aimed to identify the clinical characteristics of BPPV in children and compare them with those of adult BPPV patients. Methods: All children ≤ 18 years old who were diagnosed with BPPV were selected by searching the electronic database of our hospital. Clinical features were identified by medical record review. For adult patients, we collected data from patients > 19 years of age. Results: A total of 30 pediatric (13.65 ± 4.15 years old) and 264 adult patients (60.86 ± 13.74 years old) were included in the study. Among pediatric patients, the lateral canals were involved in 80% and the posterior canals in 16.67%. In adult patients, the lateral and posterior canals were involved similarly (p = 0.007). The degree of nystagmus in pediatric patients was 6.82 ± 12.09, while in adults it was 15.58 ± 20.90 (p < 0.001). The concurrent dizziness disorder was higher in the pediatric group and recurrence was higher in the adult group. In the regression analysis, it was found that adult patients had a stronger nystagmus with a value of 6.206 deg/sec, and the risk of concurrent dizziness disorder was found to be 5.413 times higher in the pediatric group (p < 0.05). Conclusions: BPPV occurs in pediatric patients with lower prevalence, but it cannot be overlooked. In the pediatric group, a relatively high proportion of patients demonstrated lateral canal involvement, weaker nystagmus, and additional dizziness disorder.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

An,

Kim,

Park

et al. 2024

JCM

Self Cite

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Dizziness in children and adolescents

Suh¹

2022

J Korean Med Assoc

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Background: Dizziness in children is a common cause for a visit to the pediatric outpatient department. The reported prevalence is 6% to 8% but evaluating the symptoms in children who cannot clearly explain and describe their experience is challenging.Current Concepts: The most common causes of dizziness in children and adolescents—which account for approximately 35% of the cases—are benign paroxysmal vertigo of childhood and vestibular migraine. These two diseases and head trauma are the primary causes of dizziness in over 50% of the cases. A thorough history-taking is key for the diagnosis of dizziness in children and adolescents. Additionally, a complete physical examination, including ear and neurologic tests, is essential.Discussion and Conclusion: As the department of pediatrics includes children and adolescents, the number of young patients presenting with dizziness is continuously increasing. This article presents the general definition, etiology, diagnosis, treatment strategies, and recommendations for the management of dizziness in children and adolescents. Further studies are warranted to differentiate the cause of dizziness in children. Moreover, drug abuse related to dizziness and headaches shouldn’t be underdiagnosed at schools or in the community.

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Etiology and Clinical Characteristics of Pediatric Dizziness

Cited by 2 publications

References 45 publications

Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

Dizziness in children and adolescents

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