Balance disorders in childhood: Main etiologies according to age. Usefulness of the video head impulse test
Balance disorders in childhood: Main etiologies according to age. Usefulness of the video head impulse test
复制标题
DOI：
10.1016/j.ijporl.2016.06.020
复制
发表时间：
2016-08-01
影响因子：
1.5
通讯作者：
Carmona, Sergio
中科院分区：
文献类型：
--
作者：
Alejandra Sommerfleck, Patricia;Gonzalez Macchi, Maria Emilia;Carmona, Sergio
平衡障碍在成人患者中很常见，但在儿科人群中不太常见。目的：描述儿童的平衡障碍，并根据年龄讨论儿童平衡障碍的主要病因。研究设计：采用回顾性、观察性、描述性和横断面研究。研究对象：2012年3月至2015年7月在某三级儿科医院耳鼻喉科就诊的1~18岁因平衡障碍就诊的患者。结果：206例患者纳入研究。中位年龄为10岁。最常见的诊断为儿童前庭偏头痛21.8%，共济失调9.22%，儿童期良性阵发性眩晕7.77%，创伤后眩晕6.31%。总共进行了61次视频眼震图检查，其中46次正常，55次视频头部冲动测试，其中45次正常，10次显示前庭-眼反射增益异常。结论：对于有平衡障碍的儿童，病史和神经学检查是必不可少的。前庭偏头痛是每个年龄段最常见的疾病，大多数患者都有偏头痛的家族史。辅助研究，特别是视频头部脉冲试验，为确认诊断提供了重要数据。(C)2016爱思唯尔爱尔兰有限公司。保留所有权利。
Balance disorders are common in adult patients but less usual in the pediatric population. When this symptomatology appears in children it is a cause for concern, both for parents and health-care professionals.Objectives: To explain the balance disorders in children describing a case series and to discuss the main etiologies found according to age.Study design: A retrospective, observational, descriptive, and cross-sectional study was conducted.Population: Patients aged 1-18 years who consulted because of balance disorders at the otolaryngology department of a pediatric tertiary-care hospital between March 2012 and July 2015.Results: Two hundred and six patients were included in the study. Median age was 10 years. The most common diagnoses were vestibular migraine in 21.8% of the children, ataxia in 9.22%, benign paroxysmal vertigo of childhood in 7.77%, and post-traumatic vertigo in 6.31%. Overall, 61 videonystagmographies- of which 46 were normal - and 55 video head impulse tests - which were normal in 45 and showed abnormalities in the vestibulo-ocular reflex gain in 10 - were performed.Conclusions: In a child with balance disorders, the medical history and neurotological examination are essential. Vestibular migraine is the most commonly found disorder in every age group, and most of the patients have a family history of migraine. Ancillary studies, especially the video head-impulse test, provide important data to confirm the diagnosis. (C) 2016 Elsevier Ireland Ltd. All rights reserved.