Clinical and demographic characteristics of children and adolescents with acute vertigo symptoms: A cross-sectional study
Clinical and demographic characteristics of children and adolescents with acute vertigo symptoms: A cross-sectional study
Background/aim: Vertigo is one of the rarely diagnosed disorders during childhood due to insufficient description of the children regarding their experiences to the physicians. The clinical features of children and adolescents admitted by acute vertigo symptoms were investigated to elaborate the subject retrospectively. Materials and methods: Between January 2017–July 2019, records of cases admitted with acute vertigo complaints to pediatric neurology were retrospectively examined. Results: Of 761 patients, mean age was 13.8 years, 64% (n = 487) were women, 22.6% (n = 172) of which were children (1–11 years). A total of 37.3% of the cases (n = 284) had unknown etiology of acute vertigo symptoms, 39.6% (n = 301) had acute vertigo, and 23.1% (n = 176) were considered with no organicity problems but a group of the families stopped cooperating to the full extent in the study. Among all the patients, 25.6% (195/761) had paroxymal vertigo, 6.8% (52/761) had migraine-associated vertigo, 4.5% (34/761) had psychogenic vertigo, and 2.6% (20/761) had epileptic vertigo. Epileptic vertigo was significantly higher in younger children (mean age = 10.6, F(3) = 8874, P < .001), and the ratio of its occurence was also higher among children (60%, χ2 (3) = 20.347, P < .001). Conclusion: Vertigo complaints are 1.7 times more common among the girls. Epileptic vertigo is significantly higher among the children. Among younger children, it seems important to consider epilepsy when vertigo emerged.
___
- 1. Bisdorff A, Von Brevern M, Lempert T, Newman-Toker DE. Classification of vestibular symptoms: towards an international classification of vestibular disorders. Journal of Vestibular Research: Equilibrium & Orientation 2009; 19:1-13. doi: 10.3233/VES-2009-0343
- 2. Russell G, Abu-Arafeh I. Paroxysmal vertigo in children: an epidemiological study. International Journal of Pediatric Otorhinolaryngology 1999; 49(Suppl 1): 105-109. doi: 10.1016/ s0165-5876(99)00143-3
- 3. Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 629-808.
- 4. Batu ED, Anlar B, Topçu M, Turanlı G, Aysun S. Vertigo in childhood: A retrospective series of 100 children. European Journal of Paediatric Neurology 2015; 19: 226-232. doi: 10.1016/j.ejpn.2014.12.009
- 5. Filippopulos FM, Albers L, Straube A, Gerstl L, Blum B et al. Vertigo and dizziness in adolescents: Risk factor and their population attributable risk. PLosOne 2017; 12(11):e0187819. doi: 10.1371/journal.pone.0187819
- 6. Langhagen T, Schroeder AS, Rettinger N, Borggraefe I, Jahn J. Migraine-related vertigo and somatoform vertigo frequently occur in children and are often associated. Neuropediatrics 2013; 44(1): 55-58. doi: 10.1055/s-0032-1333433
- 7. Fu Q, Witkowski S, Okazaki K, Levine BD. Effects of gender and hypovolemia on sympathetic neural responses to orthostatic stress. American Journal of Physiology 2005; 289(1):R109-R16. doi: 10.1152/ajpregu.00013.2005
- 8. Wieling W, Krediet C, Van Dijk N, Linzer M, Tschakovsky M. Initial orthostatic hypotension: review of a forgotten condition. Clinical Science 2007; 112:157-65. doi: 10.1042/CS20060091
- 9. Batson G. Benign paroxysmal vertigo of childhood: A review of the literature. Paediatrics & Child Health 2004; 9(1): 31-34. doi: 10.1093/pch/9.1.31
- 10. Jahn K, Langhagen T, Heinen F. Vertigo and dizziness in children. Current Opinion in Neurology 2015; 28(1): 78-82. doi: 10.1097/WCO. 0000000000000157
- 11. Jahn K. Vertigo and dizziness in children. Handbook of Clinical Neurology 2016; 137: 353-363. doi: 10.1016/B978-0- 444-63437-5.00025-X
- 12. Ralli G, Atturo F, de Filippis C. Idiopathic benign paroxysmal vertigo in children, a migraine precursor. International Journal of Pediatric Otorhinolaryngology. 2009; 73 Suppl 1: S16-8. doi: 10.1016/S0165-5876(09)7004-7
- 13. Gruber M, Cohen-Kerem R, Kaminer M, Shupak A. Vertigo in children and adolescents: Characteristics and outcome. Scientific World Journal 2012; 109624. 9624, doi:10.1100/2012/109624
- 14. Erbek SH, Erbek SS, Yilmaz I, Topal O, Ozgirgin N et al. Vertigo in childhood: a clinical experience. International Journal of Pediatric Otorhinolaryngology 2006; 70(9): 1547-1554. doi: 10.1016/j.ijporl.2006.04.001
- 15. Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M. Prevalence and diagnosis of vestibular disorders in children: a review. International Journal of Pediatric Otorhinolaryngology 2014; 78:718-724. doi: 10.1016/ j.ijporl.2014.02.009
- 16. Kluge M, Beyenburg S, Fernandez G, Elger CE. Epileptic vertigo: evidence for vestibular representation in human frontal cortex. Neurology 2000; 55: 1906-1908. doi: 10.1012/ wnl.55.12.1906
- 17. Tarnutzer AA, Lee SH, Robinson KA, Kaplan PW, NewmanToker DE. Clinical and electrographic findings in epileptic vertigo and dizziness. Neurology 2015; 84(15): 1595-1604. doi: 10.1212/WNL.0000000000001474