Vestibular disorders in children: A retrospective analysis of vestibular function test findings
Vestibular disorders in children: A retrospective analysis of vestibular function test findings
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DOI：
10.1016/j.ijporl.2021.110751
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发表时间：
2021-05-05
影响因子：
1.5
通讯作者：
Korkut, Nazim
中科院分区：
文献类型：
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作者：
Gedik-Soyuyuce, Ozlem;Gence-Gumus, Zeynep;Korkut, Nazim
目的：本研究旨在描述儿童最常见的前庭疾病及其前庭功能测试的相关结果。方法：收集了 3400 名患者中的 203 名平均年龄为 11.16 +/- 3.87（范围为 1-17）岁的儿童的数据，这些患者在三级医院眩晕中心接受了前庭评估，历时 3 年。对 203 名儿童进行了回顾性数据分析。结果：3400 名患者中的 203 名儿童中有 78.3%（n = 159）被诊断为前庭疾病，在我们的研究中，3 年发病率为 4.67%。良性阵发性位置性眩晕 (BPPV) 是我们组儿童中最常见的诊断 (49%；n = 100)，其中涉及原发性 BPPV 和与其他前庭病变相关的继发性 BPPV。前庭偏头痛 (VM) 是第二常见的诊断 (41%; n = 83)，其次是儿童良性阵发性眩晕 (BPVC; 4.5%, n = 9)、前庭神经炎 (VN; 4.5%, n = 9) 和心因性眩晕 (4.5%, n = 9)。我们的研究表明，梅尼埃病（MD；1.5%，n = 3）和中枢性眩晕（1.5%，n = 3）在儿童中的诊断率较低。仅一名儿童被诊断并通过手术确诊为外淋巴瘘 (PLF)。结论：BPPV 和 VM 是我们研究中最常见的儿童前庭疾病。临床医生应了解儿童最常见前庭疾病的患病率、体征和症状，以便进行诊断、治疗和康复。进行适合年龄的前庭功能测试可以改善鉴别诊断，从而指导医疗和康复。
Objective: This study was designed to describe the most common vestibular disorders in children and their associated findings on vestibular function testing. Method: Data from 203 children with a mean age of 11.16 +/- 3.87 (range, 1-17) years were collected from among 3400 patients who underwent vestibular assessment at a vertigo center in a tertiary hospital over a 3-year period. A retrospective data analysis was performed for 203 children. Results: Vestibular disorders were diagnosed in 78.3% (n = 159) of 203 children among 3400 patients, which revealed a 3-year incidence of 4.67% in our study. Benign paroxysmal positional vertigo (BPPV) was the most common diagnosis in our group of children (49%; n = 100), which involved both primary BPPV, and secondary BPPV that was associated with other vestibular pathologies. Vestibular migraine (VM) was the second most common diagnosis (41%; n = 83) followed by benign paroxysmal vertigo of childhood (BPVC; 4.5%, n = 9), vestibular neuritis (VN; 4.5%, n = 9), and psychogenic vertigo (4.5%, n = 9). Our study showed that Meniere's Disease (MD; 1.5%, n = 3) and central vertigo (1.5%, n = 3) were less commonly diagnosed in children. Perilymphatic fistula (PLF) was diagnosed and surgically confirmed in only one child. Conclusion: BPPV and VM were the most common pediatric vestibular disorders in our study. Clinicians should be aware of the prevalence, signs, and symptoms of the most common vestibular disorders in children to enable diagnosis, treatment, and rehabilitation. Vestibular function testing with age-appropriate adaptations results in improved differential diagnosis, which guides medical treatment and rehabilitation.