Recurrent Vertigo of Childhood: Clinical features and prognosis

Dunker, Konstanze; Schnabel, Lutz; Grill, Eva; Filippopulos, Filipp; Huppert, Doreen

doi:10.3389/fneur.2022.1022395

Cited by 13 publications

(10 citation statements)

References 34 publications

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“…Attack duration ranged between 1 min and 4 h. The most common accompanying symptoms included 132 nausea, vomiting, expressions of fear, and falls. Interestingly, female patients showed a higher age at symptom onset, attack frequency, and duration [14].…”

Section: Resultsmentioning

confidence: 97%

Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age

Viola,

Scarpa,

Chiarella

et al. 2024

Audiology Research

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Background: The most frequent form of vertigo in pediatric age is represented by vertigo linked to migraine, with a prevalence of 32.7%. This group of pathologies has received a redefinition of the diagnostic criteria to adapt them to the pediatric age with a new classification of the clinical pictures. We have several kinds of problems with these conditions that often have a significant impact on patients’ and parents’ quality of life: the diagnostic approach involves different tools for the different age groups contained in the pediatric range; the treatment of this type of vertigo is not consolidated due to the limited availability of trials carried out on pediatric patients. Focusing on this topic, the aim of this review was to provide an update on the more recent clinical advances in the diagnosis and treatment of Vestibular Migraine (VM) in children. Methods: We searched the PubMed, Embase, and Cochrane library databases for articles published in English from January 2015 to April 2023. The secondary search included articles from reference lists, identified by the primary search. Records were first screened by title/abstract, and then full-text articles were retrieved for eligibility evaluation. The searches combined a range of key terms (“Pediatric” AND “Childhood” AND “dizziness” OR “vertigo” AND “vestibular”). Results: Migraine-related vertigo, in its most recent definitions and classifications, is the most frequent group of balance pathologies in pediatric age. The results from the various experiences present in the literature suggest a clinical approach to be integrated with the use of instrumental tests selected according to the age of the patient and the reliability of the results. Conclusion: Knowing the timeline of the applicability of vestibular tests and the information that can be obtained from them is fundamental for diagnostic accuracy. Therapy is strongly conditioned by the limited availability of pediatric trials and by the wide range it includes, from very young children to adolescents.

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Section: Resultsmentioning

confidence: 97%

Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age

Viola,

Scarpa,

Chiarella

et al. 2024

Audiology Research

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“…9 RVC defined by Bárány Society has recently replaced the term BPVC and is defined as recurrent spells of vertigo without evidence of vestibular migraine of childhood. 8,15 However, both BPVC and RVC are used interchangeably in the current literature. Since our study is retrospective and covers the period prior to the change in terminology from BPVC to RVC, we adhere to the definition of BPVC.…”

Section: Resultsmentioning

confidence: 99%

Childhood vertigo: A retrospective series of 791 cases

ÖZDEMİR USLU,

Ardıçlı,

Yılmaz

2024

NeuroAsia

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Background: Vertigo is one of the most common complaints leading to admissions in pediatric neurology clinics. Diagnosis of vertigo in children is often challenging due to limited communication capacity in defining symptoms, the unreliability of neurovestibular investigations in children and the variability of etiologies. The aim of this study is to evaluate clinical and etiological profile of vertigo in childhood and to assess the diagnostic yield of neuroimaging and electroencephalography (EEG). Methods: All patients under the age of 18 years presented with vertigo to the pediatric neurology outpatient clinic of Ankara Keçiören Research and Training Hospital were included in the study. Demographic data, accompanying symptoms, family history, physical and neurological examination findings, neuroimaging, and EEG results were retrospectively analyzed. The etiological spectrum was also evaluated according to age groups. Results: A total of 791 patients (female/male=2.1) with a mean age of 13.1 years were included in the study. The most common etiologies were vestibular migraine (27.3%) and psychogenic vertigo (14.9%) in the entire cohort; whereas benign paroxysmal vertigo of childhood was the top diagnosis in children ≤12 years (25%). The most common accompanying symptom was headache (36.7%) which was most frequently associated with vertigo attacks in migrainous patients. In most cases there was no correlation between neuroimaging findings and vertigo. Additionally, the contribution of EEG to the diagnosis was found to be limited. Conclusion: Most of the childhood vertigo cases can be diagnosed accurately by a detailed medical history, physical and neurological examination. A multidisciplinary approach is essential for evaluating childhood vertigo and all the signs and symptoms accompanying vertigo should be considered while planning further investigations including neuroimaging and EEG.

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“… Duration of most vertigo attacks. Duration data were grouped as: 5–30 min [to avoid including benign paroxysmal positional vertigo (BPPV) or vestibular paroxysmia], 30 min–4 h, 4–12 h (the 4 h cutoff was chosen in light of a recent report that the duration of vertigo in patients with RVC had a range of 1 min–4 h 10 ), and >12 h. Presence of motion sickness Familial history of episodic vertigo and migrainous headaches (parents were asked if another first or second-degree relative suffered from migraine and/or vertigo). All patients underwent audiometric exam confirming normal hearing.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Phenotypes, bedside examination, and video head impulse test in vestibular migraine of childhood compared with probable vestibular migraine and recurrent vertigo in childhood

et al. 2023

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IntroductionVestibular impairment and vertigo in the pediatric population have an estimated prevalence ranging between 0.4% and 5.6% and are a topic of interest in recent years. The Bárány Society has recently reclassified migraine-related vertigo syndromes as vestibular migraine of childhood (VMC), probable vestibular migraine of childhood (probable VMC), and recurrent vertigo of childhood (RVC).MethodsApplying the criteria established by the Bárány Society, we retrospectively analyzed data on 95 pediatric patients suffering from episodic vertigo that were recruited from 2018 to 2022. In applying the revised criteria, 28 patients had VMC, 38 had probable VMC, and 29 had RVC.ResultsVisuo-vestibular symptoms (external vertigo) or internal vertigo were reported by 20 of 28 VMC patients (71.4%) compared to 8 of 38 probable VMC patients (21%) (P < .001). None of the RVC patients reported external vertigo. Duration of vertigo was demonstrably longer in the VMC patients than in the probable VMC (P < .001) and RVC (P < .001) patients. Cochlear symptoms were reported by 28.6% of VMC patients and by 13.1% of probable VMC patients. No cochlear symptoms were reported by any RVC patients. Familial cases for headache and episodic vertigo showed no significant difference between groups.DiscussionThe most frequent finding during bedside examination in all three groups was central positional nystagmus. Differences in the duration of attacks and in accompanying symptoms may underline different pathophysiological mechanisms.

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Recurrent Vertigo of Childhood: Clinical features and prognosis

Cited by 13 publications

References 34 publications

Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age

Instrumental Assessment and Pharmacological Treatment of Migraine-Related Vertigo in Pediatric Age

Childhood vertigo: A retrospective series of 791 cases

Phenotypes, bedside examination, and video head impulse test in vestibular migraine of childhood compared with probable vestibular migraine and recurrent vertigo in childhood

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