Hearing loss, tinnitus and vertigo among pediatric patients with COVID-19 infections: a review

Int J Otorhinolaryngol Head Neck Surg

2022

Self Cite

<p>Vertigo is defined as a false sensation of movements where a patient gets a rotating perception of the environment or oneself. Vertigo and dizziness are commonly experienced during the pregnancy period and are among the most common complaint by pregnant women to the primary care physicians. Vertigo during pregnancy affects the quality of life of women and also has an impact on the fetus. Pregnancy is an important nine-month physiological period of female life. During pregnancy, the body of the female undergoes several physiological changes that affect all systems and organs, including sensory ones. There are significant changes during pregnancy including otological and neurotological manifestations. Vertigo/dizziness is a common complaint during pregnancy to the clinicians. Benign paroxysmal positional vertigo (BPPV), Meniere’s disease (MD), vestibular neuritis and vestibular migraine are common vestibular disorders result in vertigo during pregnancy. Vertigo during pregnancy directly affects the pregnant mother both mentally and physically. A multidisciplinary approach by otolaryngologists, neurologists, and gynaecologist and obstetricians is required for proper evaluation and management of vertigo in pregnant women. Currently, there are no guidelines for the management of vertigo in pregnancy. Little has been reported about vertigo during pregnancy. We performed a narrative review of vertigo in pregnant women.</p>

Section: Etiopathologymentioning

confidence: 99%

Vertigo during pregnancy: a review

Int J Otorhinolaryngol Head Neck Surg

2022

Self Cite

“…Trauma to the head contributes to the etiology of about half of the patients with BPPV. 12 Prolonged bed rest is also thought of as the etiology of BPPV. 13 Recently, there are reports that calcium and vitamin D metabolism disorders act as risk factors for BPPV.…”

Section: Etiopathologymentioning

confidence: 99%

Audiovestibular manifestations during pregnancy: a review

2022

Int J Res Med Sci

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Pregnancy is nine-month duration physiological process with psychological, cardiovascular, and hormonal changes that affects different organs of the pregnant women. Any organs of the body can be affected during pregnancy due to hormonal changes so as in audiovestibular system. There are several audiovestibular manifestations occur during pregnancy such as hearing loss, otosclerosis, tinnitus, autophony, facial nerve palsy, and vertigo manifested as first time or get exacerbated during pregnancy. Majority of the changes during pregnancy are harmless to the mother and fetus, whereas some may cause pathological manifestations. The hormonal changes during pregnancy can cause alteration in the homeostasis of the inner ear fluids and hamper the inner ear functions. The changes of estrogen and progesterone levels during pregnancy can affect the audio-vestibular system. These changes in the inner ear may manifest with symptoms like vertigo, tinnitus, fullness in the ear, and hyperacusis. These symptoms in the pregnancy directly affects the quality of life both physically and emotionally. There are no standard guidelines for the management of audiovestibular manifestations. However, there are very little data available for audiovestibular manifestations during the pregnancy period. The objective of this review article is to discuss the prevalence, etiopathology, and clinical presentations, diagnosis and treatment of audiovestibular manifestations during pregnancy.

“…27 The incidence of BPPV increases with the increase of age. 28 It often affects children from 3 to 6 years of age and is idiopathic in origin. 28 The symptoms of BPPV in children are often neglected by caregivers and parents.…”

Section: Clinical Presentationsmentioning

confidence: 99%

“…28 It often affects children from 3 to 6 years of age and is idiopathic in origin. 28 The symptoms of BPPV in children are often neglected by caregivers and parents. A child was initially misdiagnosed with acute gastritis because of vegetative symptoms and even admitted to the pediatric department but is found to have been diagnosed as BPPV following careful history taking and consultation by otolaryngologists.…”

Section: Clinical Presentationsmentioning

confidence: 99%

“…The clinical features of children with BPPV include recurrent vertiginous attacks, generally short-lasting and unpredictable without aura, with spontaneous and complete recovery between the vertigo attacks. 29 The classification of BPPV is based on the anatomical location or etiology. The most commonly involved semicircular canal is posterior, occasionally lateral semicircular canal, and rarely superior semicircular canal.…”

Section: Clinical Presentationsmentioning

confidence: 99%

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Benign paroxysmal positional vertigo in pediatric age group: a review

2022

Int J Contemp Pediatr

Self Cite

Vertigo is not common in the pediatric age group, but probably more often than was formerly thought. Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. It consists of the short duration of vertigo attacks found in a definite head position. The exact cause of BPPV is related to the idiopathic detachment of otoconia from the utricular membrane. The prevalence of BPPV in children is lower than in the adult age group. In children with BPPV, the symptoms consist of transitory rotational vertigo and torsional/ vertical/ horizontal or mixed nystagmus, depending on the position of the intra-labyrinthine otoliths, with latency and intensity in a typical crescendo-decrescendo pattern and it is exhaustible, reversible and fatiguing similar to adults. The diagnosis of BPPV can be accurately done by taking a detailed medical history, audiogram, and by use of positional testing. In children, BPPV can be successfully diagnosed and treated. In most cases, pediatric patients could not express details of their symptoms, and clinicians cannot always obtain adequate medical histories and determine their objective signs. So, it is not easy to study the BPPV in children. There are only a few articles describing BPPV in the pediatric age group, and therefore this subject is not well known to most otolaryngologists and clinicians. This review article discusses the epidemiology, etiopathology, clinical manifestations, diagnosis, and treatment of BPPB in the pediatric age group.