Vertigo during childhood: A disabling clinical entity

Swain, Santosh Kumar; Sahoo, Loknath; Sarangi, Rachita

doi:10.4103/ijhas.ijhas_105_20

Cited by 6 publications

(5 citation statements)

References 32 publications

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“…Vestibular neuritis is characterized by acute onset of vertigo, nausea, and vomiting. 30 There are no auditory symptoms such as hearing loss and tinnitus. 30 Swain SK.…”

Section: Vestibular Neuritismentioning

confidence: 99%

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Vertigo during pregnancy: a review

Swain

2022

Int J Otorhinolaryngol Head Neck Surg

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<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>

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“…Vestibular neuritis is characterized by acute onset of vertigo, nausea, and vomiting. 30 There are no auditory symptoms such as hearing loss and tinnitus. 30 Swain SK.…”

Section: Vestibular Neuritismentioning

confidence: 99%

“…30 There are no auditory symptoms such as hearing loss and tinnitus. 30 Swain SK. Int J Otorhinolaryngol Head Neck Surg.…”

Section: Vestibular Neuritismentioning

confidence: 99%

Vertigo during pregnancy: a review

Swain

2022

Int J Otorhinolaryngol Head Neck Surg

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“…In children, the diagnosis of the exact cause of vertigo is often difficult, as the children can show the typical signs of BPPV during vestibular attacks but report symptoms differently than the adult age group. 38 The inability of children to express their symptoms, often leads to inaccurate histories, especially in very young children. 39 As the younger children fear vertigo and lack of understanding regarding tests, vestibular investigations are not uniformly reliable on them.…”

Section: Diagnosismentioning

confidence: 99%

Benign paroxysmal positional vertigo in pediatric age group: a review

Swain

2022

Int J Contemp Pediatr

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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.

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“…In the case of children with vestibular neuritis, pharmacotherapy with steroids and vestibular rehabilitation are advocated, whereas the role of antiviral therapy remains controversial [49]. Young children with vestibular neuritis show complete recovery in canal functioning in comparison to adolescents [50]. Moreover, the recovery from canal paresis is more likely in pediatric age than in adults, and the overall prognosis of vestibular neuritis in children seems to be better than adult age group [50].…”

Section: Treatmentmentioning

confidence: 99%

“…Young children with vestibular neuritis show complete recovery in canal functioning in comparison to adolescents [50]. Moreover, the recovery from canal paresis is more likely in pediatric age than in adults, and the overall prognosis of vestibular neuritis in children seems to be better than adult age group [50]. The treatment of children with MD is the same as in adult age and includes a salt-restricted diet, vestibular sedatives, diuretics, intratympanic gentamycin, and rarely endolymphatic sac decompression.…”

Section: Treatmentmentioning

confidence: 99%

Vertigo in children - A review

Swain¹,

Behera²,

Rajvanshi³

2022

Indian J Child Health

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Vertigo is a morbid symptom in the pediatric age group. It is not an uncommon clinical presentation in children. The etiopathology of vertigo in children is different from that of the adult age group. It is often not easy to evaluate this symptom in pediatric age group. In most cases, the children do not express their symptoms in detail and so clinicians cannot obtain adequate history and determine their exact etiology for vertigo. The benign paroxysmal vertigo is a common etiology in younger children, whereas the vestibular migraine is responsible for vertigo in majority of older children. Hence, pediatricians, otorhinolaryngologists, physicians, and neurologists often face difficulty in establishing the appropriate diagnosis of vertigo in children. The diagnosis of vertigo in children includes a detailed history, clinical examination, complete neurological examination, and audiological assessment. The treatment of vertigo in children includes the treatment of appropriate etiology. The prognosis of vestibular function recovery in children is often variable and unpredictable. Imaging such as computed tomography scans or magnetic resonance imaging is done in selected cases. The objective of this review article is to familiarize the readers with these complex disorders of children and with the current protocols in their management.

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Vertigo during childhood: A disabling clinical entity

Cited by 6 publications

References 32 publications

Vertigo during pregnancy: a review

Vertigo during pregnancy: a review

Benign paroxysmal positional vertigo in pediatric age group: a review

Vertigo in children - A review

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