To review the presentation, evaluation, and causes of vertigo in children.
A retrospective review of children who presented with the chief complaint of vertigo.
Thirty-four children with a chief complaint of vertigo were seen in an ear, nose, and throat clinic during a 2½-year period.
Presenting symptoms, diagnostic tests, diagnoses established, and clinical course were evaluated.
Otitis media, benign paroxysmal vertigo of childhood, and migraine accounted for the vertigo in 50% of the children. Audiometry, tympanometry, and electronystagmography were the most helpful diagnostic tests, with abnormal results in seven, seven, and six patients, respectively. Of the 19 patients with adequate follow-up, 15 (79%) were improved or asymptomatic at the time of their last visit.
Peripheral causes of vertigo, eg, otitis media, were noted most commonly. Evaluation of vertigo should include a complete history and physical examination, an audiogram, and a tympanogram. In select cases, electronystagmography, electroencephalography, and scanning of the brain or temporal bone should be performed. A favorable outcome was noted in most cases.(Arch Otolaryngol Head Neck Surg. 1995;121:911-915)
Bower CM, Cotton RT. The Spectrum of Vertigo in Children. Arch Otolaryngol Head Neck Surg. 1995;121(8):911–915. doi:10.1001/archotol.1995.01890080077015
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