Vestibular assessment in children aged zero to twelve years: an integrative review

Duarte, Danielle Samara Bandeira; Cabral, Anna Maria de Lira; Britto, Diana Babini Lapa de Albuquerque

doi:10.1016/j.bjorl.2022.09.006

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…Regarding preterm infants, related to vestibular system maturation, cVEMPs may show prolonged and/or absent results [29,30]. The main cause of prolonged and/or absent cVEMPs is the myelination process, reflecting incomplete maturity of the sacculo-collic reflex [31,32]. Zhang et al investigated the possible role played by CT and vHIT in VMC, PVMC, and RVC.…”

Section: Vestibular Function Test In the Diagnosis Of Children Vertigomentioning

confidence: 99%

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: Vestibular Function Test In the Diagnosis Of Children Vertigomentioning

confidence: 99%

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

Viola,

Scarpa,

Chiarella

et al. 2024

Audiology Research

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“…Síndrome de Cogan, síndrome de Susac, sarcoidosis, granulomatosis de Wegener, síndrome de Sjögren, colitis, enfermedad celíaca, poliarteritis nodosa, síndrome antifosfolípido, enfermedad de Bechet, lupus eritematoso sistémico. La alteración de la estabilidad visual especialmente en movimientos de alta frecuencia produce oscilopsia y la disminución de la agudeza visual dinámica origina dificultades en la adquisición de la lectura y la escritura [55,57,58].…”

Section: Autoinmune (10%)unclassified

“…Estudio audiométrico y vestibular según la edad, ya que las habilidades visiomotoras finalizan su desarrollo entre 14-18 años [58] (Figura 2).…”

Section: Exploraciones Complementariasunclassified

Causas de vértigo periférico en la infancia

Coscarón-Blanco,

Santos-Gorjón,

Pérez-Liedo

et al. 2023

ORL

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Introducción y objetivo: Dentro de los vértigos agudos y episódicos infantiles, los secundarios a traumatismos, otitis media, neuritis/laberintitis, fístula perilinfática, enfermedad de Ménière, paroxismia vestibular, vértigo posicional paroxístico benigno y vestibulopatía bilateral suponen en torno a un 10% de todos los trastornos vestibulares. Su diagnóstico debe ser precoz en base a los criterios definitorios, aunque en niños existen otros accesorios que deben conocerse (cambios del comportamiento, digestivos, etc.…). El tratamiento buscará la resolución sintomática precoz de las crisis, la prevención o reducción de recidivas, la minimización y paliación de secuelas y la máxima normalización de su vida y actividad cotidiana. Objetivo: Realizar una breve y práctica revisión sobre la clínica, los criterios diagnósticos y el tratamiento del vértigo infantil en los supuestos anteriormente mencionados. Método: Revisión narrativa empleando PubMed, Fisterra, ClinicalKey y Google Scholar. Resultados: Se obtuvieron citas, de las cuáles se desecharon aquéllas no significativas por su carácter general, antigüedad, no relevancia a criterio de los autores o no disponibilidad en inglés o castellano. Se consideraron para la presente revisión un total de 60 trabajos. Discusión: Revisión narrativa sobre los temas descritos. Conclusiones: Los criterios diagnósticos y el tratamiento para los tópicos propuestos en este capítulo están definidos para el adulto; sin embargo, en niños, deberemos considerar criterios accesorios para un pronto diagnóstico. El tratamiento está condicionado por la edad y se sustenta en varios pilares (farmacológico, hábitos de vida, rehabilitación y psicológico). El pronóstico, en general, es mejor que el del adulto por la plasticidad neural infantil.

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“…У дітей із вестибулярною дисфункцією також можуть з'являтися зміни в комунікативних навичках, когнітивні порушення, психологічні розлади, такі як соціальна ізоляція та погана успішність у школі. Крім того, вони часто не знають, як спілкуватися і контролювати фізичні зміни, викликані та кою дисфункцією [45].…”

Section: особливості функціонування вестибулярного аналізатора у діте...unclassified

Age Features of the Vestibular Analyzer

Vadzyuk,

Shmata,

Lebedeva

et al. 2023

Fiziol Zh

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The main importance of the vestibular system is to maintain the vertical position of a person and ensure the coordination of movements. The peculiarity of the structure of the vestibular apparatus prompts it to be constantly in a state of spontaneous activity. This is due to the effect on it of afferent impulses that come from the labyrinths to the vestibular centers. With proper excitability, this information indicates the normal course of physiological reactions. In this regard, persons with normal vestibular sensitivity have not experience symptoms of impaired vestibular function. However, in cases where this spontaneous impulse changes due to the influence of external and internal factors, and the inhibition mechanisms are not sufficiently activated, symptoms appear that indicate the insufficiency of vestibular afferentation compensation processes and are manifestations of increased excitability of the vestibular analyzer. It is known from literary sources that increased sensitivity of the vestibular analyzer is widespread among the population. At the same time, there is a tendency to increase the prevalence of increased sensitivity of the vestibular analyzer among people of different ages. The review presents modern views on the peculiarities of the functional activity of the vestibular analyzer in different age periods. We are describe features of development, structure and reflex activity to ensure the vital activity of the organism from the beginning of intrauterine development to old age. We considered functions of ensuring a sense of position and movement of the body in space, maintaining both a posture at rest and during movement in different age periods. We also analyzed data on the frequency of symptoms of a vestibular analyzer disorder.

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Vestibular assessment in children aged zero to twelve years: an integrative review

Cited by 4 publications

References 37 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

Causas de vértigo periférico en la infancia

Age Features of the Vestibular Analyzer

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