Ocular Vestibular Evoked Myogenic Potentials: Normative Findings in Children

Kuhn, Jeffery J.; Lavender, Violette; Hunter, Lisa L.; McGuire, Stephanie E.; Meinzen‐Derr, Jareen; Keith, Robert W.; Greinwald, John H.

doi:10.3766/jaaa.17086

Cited by 14 publications

(8 citation statements)

References 32 publications

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“…2,3,11 A avaliação vestibular em idade pediátrica pode ser complexa por uma série de razões: nesta idade, a capacidade de auto-perceção de sintomas ou a identificação destes como anormais pode ser difícil; por outro lado, a falta de colaboração no exame físico e nos ECD compromete, por vezes, a sua realização. [2][3][4][5] No entanto, o exame físico, incluindo uma adequada avaliação otoneurológica, é essencial para estabelecer as hipóteses diagnósticas mais prováveis e, assim, determinar qual a melhor atitude diagnóstica e terapêutica.…”

Section: Discussionunclassified

“…[1][2][3] Os exames complementares de diagnóstico (ECD) utilizados em adultos, embora possam ser, na sua maioria, utilizados para avaliação em idade pediátrica, necessitam de adaptações não apenas em termos de execução dos mesmos, mas também relativamente a valores de normalidade. 2,4 No entanto, e apesar da evolução tecnológica no desenvolvimento de meios complementares para diagnóstico, a história clínica e o exame objetivo são o ponto de partida fundamental para estabelecer uma hipótese. As hipóteses de diagnóstico em idade pediátrica são diferentes das do adulto, havendo algumas patologias que são exclusivas nesta idade.…”

Section: Introductionunclassified

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Patologia Vestibular em Idade Pediátrica: Análise Retrospetiva e Revisão da Literatura

et al. 2021

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Introduction: Vestibular disorders in pediatric patients is still a controversial subject but has gained relevance over the years. In recent studies, its prevalence varied between 0.7% and 15%. Nevertheless, the true prevalence can be underestimated given that its clinical presentation is expressed compared to adults; it can present as rotatory vertigo, but It can also cause vision complaints, headaches, motor delay, and learning disability. Although middle ear effusion is considered the main cause of vestibular dysfunction in this age group, other diagnoses should be considered. The aim of this study was to describe clinical features of the pediatric population referred to a subspecialist Otorhinolaryngology vertigo clinic in a tertiary hospital between 2013 and 2017. We also aimed to compare the results and carry out a literature about the most common causes, diagnostic features and treatment approach.Material and Methods: Clinical records of patients referred to a subspecialist Otorhinolaryngology vertigo clinic with suspicion of vestibular dysfunction aged between 0 and 18 years old were reviewed. Patients with middle ear effusion were excluded.Results: Thirty-seven patients met the inclusion criteria. From these, 59% were female, with a mean age of 10.9 years old during the first consultation. The most common reason for referral was rotatory vertigo. Nausea and headache were also frequent complaints in our population. All patients performed audiometry; videonistagmography was performed in 41% of the cases; imaging studies were done in 59% of patients. The most common causes of vestibular dysfunction were vestibular migraine and benign paroxysmal vertigo of childhood (both in 27% of the cases), followed by vestibular neuritis (in 22% of the cases).Discussion: Although our findings partially concur with the literature, compared with other specialist centers, the range of reasons for referral and of conditions is not as diverse, which may suggest that there is underdiagnosis of vestibular dysfunction in this age group.Conclusion: Vestibular dysfunction in the pediatric age can have several causes; pediatricians, neurologists, physiatrists, family doctors and otorhinolaryngologists must be aware of the different forms of presentation. Referral and evaluation protocols addressing pediatric patients should be created.

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Section: Introductionunclassified

Patologia Vestibular em Idade Pediátrica: Análise Retrospetiva e Revisão da Literatura

et al. 2021

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“…Normal TEOAE was observed in 3 children (1 with normal hearing and 2 with 30 dBHL or less hearing loss). TEOAE are abnormal in hearing losses of cochlear origin above 30 dBHL ( 64 ), so probably these 2 children had a mild cochlear component to their hearing loss. TEOAEs are usually preserved in third window disorders unless complicated by a simultaneous significant cochlear pathology that over rides the third window effect ( 5 , 46 , 65 ).…”

Section: Discussionmentioning

confidence: 99%

“…We have discussed the variable norms for pediatric cVEMP in our Methods section ( 38 – 40 ) and the difficulties in performing the test in children. For oVEMPS, there are very few studies ( 83 , 84 ) to establish norms. In the current series, there were increased amplitudes, absent responses, and low thresholds in the children undergoing cVEMPs in varying percentages in the cohort.…”

Section: Discussionmentioning

confidence: 99%

Audiovestibular Quantification in Rare Third Window Disorders in Children

et al. 2020

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“…O trabalho de Pimentel et al (2016) sobre a percepção do ruído, saúde auditiva e qualidade de vida de professores, consistiu-se num público de 50 mulheres e sete homens, variando de 24 a 70 anos de idade e a média de idade foi de 45 anos e cinco meses ± Os valores de referência para a população infantil foram explorados em trabalhos anteriores (ABDULLAH et al, 2017;KUHN et al, 2018). No entanto, são raros estudos que reúnam resultados em diferentes condições clínicas e de desenvolvimento infantil atípico.…”

Section: Muitos Professores Apresentaram Efeito Auditivounclassified