Evaluation of pediatric patients presenting with vertigo

Year 2021, Volume: 4 Issue: 3, 247 - 251, 21.05.2021

Serkan Kırık , Bilge Özgör , Mehmet Yaşar Özkars

https://doi.org/10.32322/jhsm.858316

Cited By: 1

Abstract

Objective: Vertigo in children is a less studied subject than that in the adulthood. The aim of the present study was to determine the clinical characteristics of children presenting to the pediatric neurology clinic with vertigo. Methods: Fourty children were enrolled. The patients digital medical datas analyzed retrospectively. The study included all patients younger than 18 years of age who presented to Kahramanmaras Sutcu Imam University Hospital and Aydın Maternity and Children’s Hospital, Pediatric Neurology Outpatient Clinic between July 2017 and July 2020. Results: In our study, 40 patients with a mean age of vertigo onset between 2 years and 17 years were evaluated. The most common complaints accompanying vertigo were headache (57.5%) and nausea (35%). The most commonly detected clinical cause of vertigo was migraine associated vertigo (MAV) (n=18); twelve patients had psychogenic vertigo, 3 patients had orthostatic hypotension (OH), and 7 patients had BCPV. While the most common cause of vertigo among children under the age of 6 was BCPV, MAV was the most common etiology among children above the age of 6. It was observed that headache more commonly accompanied vertigo in patients with MAV (p<0.001). Vertigo episodes longer than five minutes were less common in patients with BCPV and OH. Symptomatic worsening occurred in children diagnosed with BCPV and MAV. Conlusion: In the majority of pediatric patients with vertigo, a detailed examination including a detailed history and neurological and audiological evaluations is sufficient for diagnosis. Considering the anxiety of families in this patient group, especially in the pre-school age group, appropriate approach, as well as prevent unnecessary tests.

Keywords

child, migraine, vertigo, benign paroxysmal vertigo

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