Vestibular Migraine and Recurrent Vertigo in Children: A Diagnostic Focus From a Tertiary Hospital Study

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY Pediatric neurology Pub Date : 2024-06-25 DOI:10.1016/j.pediatrneurol.2024.06.011

Qunying Zhang MS , Yi Du ME , Xingjian Liu MS , Zhengyan Xu MS , Yu Wang BS , Lili Ren MD , Ziming Wu MD

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Abstract

Background

To improve diagnostic precision in pediatric vertigo, particularly in Vestibular Migraine of Childhood (VMC), probable VMC (pVMC), Recurrent Vertigo of Childhood (RVC), and unspecified categories, by delineating clinical characteristics and prevalence to refine diagnostics and treatments.

Methods

Retrospective analysis of 102 pediatric patients (five to 18 years; 46 females, 56 males) at the Dizziness Center of the Otolaryngology Department in a tertiary-level hospital from January 2019 to December 2023. Patients were classified into VMC, pVMC, RVC, and indeterminate groups. Evaluations included audiometry and vestibular tests (video head impulse test [vHIT] or caloric testing), conducted in the audiology unit and vestibular testing laboratory. Data were analyzed using IBM SPSS 20.0.

Results

Diagnoses were 8.8% VMC, 31.4% pVMC, 51.0% RVC, and 8.8% indeterminate. Nausea and vomiting were common in VMC and pVMC; cochlear symptoms like tinnitus and hearing loss predominated in VMC. Although vestibular testing showed no significant group differences, VMC had more vHIT abnormalities and RVC had more caloric test anomalies.

Conclusions

This study highlights the need for comprehensive diagnostics in pediatric vestibular disorders, revealing unique and overlapping traits across VMC, pVMC, and RVC. Insights call for further research to refine diagnostic criteria and improve treatment methods.

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儿童前庭偏头痛和复发性眩晕：一家三级医院研究的诊断重点。

背景：为了提高小儿眩晕的诊断精度，特别是儿童前庭性偏头痛（VMC）、可能的儿童前庭性偏头痛（pVMC）、儿童复发性眩晕（RVC）和未指定类别的眩晕，通过划分临床特征和发病率来完善诊断和治疗：回顾性分析一家三级医院耳鼻喉科头晕中心从2019年1月至2023年12月的102名儿童患者（5至18岁；46名女性，56名男性）。患者被分为VMC组、pVMC组、RVC组和不确定组。评估包括听力测定和前庭测试（视频头脉冲测试 [vHIT] 或热量测试），在听力科和前庭测试实验室进行。数据使用 IBM SPSS 20.0 进行分析：诊断结果为：8.8% VMC，31.4% pVMC，51.0% RVC，8.8%不确定。恶心和呕吐在 VMC 和 pVMC 中很常见；耳鸣和听力下降等耳蜗症状在 VMC 中占多数。虽然前庭测试未显示出明显的组间差异，但VMC有更多的vHIT异常，RVC有更多的热量测试异常：本研究强调了对小儿前庭疾病进行全面诊断的必要性，揭示了 VMC、pVMC 和 RVC 的独特和重叠特征。这些发现需要进一步研究，以完善诊断标准和改进治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.