Comparing Video Head Impulse Testing With Rotary Chair in Pediatric Patients: A Controlled Trial.

Objectives: To investigate the efficacy of video head impulse testing (VHIT) in detecting vestibular loss in pediatric patients with abnormal rotary chair testing, compared to a control group with normal rotary chair testing.

Study Design: Prospective, nonrandomized, controlled trial.

Setting: Pediatric vestibular program at tertiary level children's hospital.

Benign paroxysmal vertigo of childhood.

Benign paroxysmal vertigo of childhood (or recurrent vertigo of childhood) is the most common cause of vertigo in young children. It is considered a pediatric migraine variant or precursor disorder, and children with the condition have an increased likelihood of developing migraine later in life than the general population. Episodes are typically associated with room-spinning vertigo in conjunction with other migrainous symptoms (e.

Vestibular Preservation in Pediatric Cochlear Implantation.

Objectives: Evaluate the rate of preserved vestibular function in pediatric cochlear implant surgery.

Study Design: Retrospective case review.

Methods: Pre- and post-operative vestibular tests were compared in children who underwent cochlear implantation at a tertiary level pediatric hospital over a 4-year period.

Vergence and Accommodation Deficits in Children and Adolescents with Vestibular Disorders.

Significance: The high frequency of vergence and accommodation deficits coexisting in patients with a vestibular diagnosis merits a detailed visual function examination.

Purpose: Deficits in vergence and saccades have been reported in patients with vestibular symptomatology. We retrospectively evaluated visual function deficits in adolescents with vestibular diagnoses and concussion.

Evaluation and management of paediatric vertigo.

Purpose Of Review: This review summarizes the most current information on cause, evaluation and treatment of dizziness in children.

Recent Findings: There has been an increased understanding of the multifactorial cause of dizziness in the paediatric population. Quantitative vestibular testing is increasingly used and valuable as a diagnostic adjunct.

Characteristics of Benign Paroxysmal Positional Vertigo in Young Children.

Objectives: This study aimed to determine the clinical characteristics of benign paroxysmal positional vertigo (BPPV) in young children.

Study Design: Retrospective case review.

Methods: All children <10 years old that have been diagnosed with BPPV at our pediatric vestibular program between December 2012-July 2021 were selected.

Pain at the Cochlear Implant Site Requiring Device Removal in Pediatric Patients.

Objectives: Idiopathic pain at the cochlear implant (CI) site outside of the immediate postoperative period is an uncommon occurrence but may necessitate device explantation. Our objective was to describe the clinical course for pediatric patients with CI site pain who ultimately required device explantation.

Study Design: Retrospective chart review.

Peripheral Vestibular Dysfunction Is a Common Occurrence in Children With Non-syndromic and Syndromic Genetic Hearing Loss.

Hearing loss (HL) is the most common sensory deficit in humans and is frequently accompanied by peripheral vestibular loss (PVL). While often overlooked, PVL is an important sensory dysfunction that may impair development of motor milestones in children and can have a significant negative impact on quality of life. In addition, many animal and models of deafness use vestibular hair cells as a proxy to study cochlear hair cells.

Persistent Postural-Perceptual Dizziness in Children and Adolescents.

Objective: Persistent postural-perceptual dizziness (PPPD) is a recently defined diagnostic syndrome characterized by chronic symptoms of dizziness, unsteadiness, and/or non-spinning vertigo. Although PPPD has been studied in adults, reports in the pediatric population are few. The goal of this study was to describe the presentation and treatment of PPPD in a group of pediatric patients.

Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series.

Traumatic perilymphatic fistula (PLF) is an uncommon cause of acute vestibular symptoms and hearing loss following head injury in children. We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PLF underwent repair via an EES approach between August and October 2018.

Specialty-Specific Diagnoses in Pediatric Patients With Postconcussion Syndrome: Experience From a Multidisciplinary Concussion Clinic.

Objective: To describe the collaborative findings across a broad array of subspecialties in children and adolescents with postconcussion syndrome (PCS) in a pediatric multidisciplinary concussion clinic (MDCC) setting.

Design: Retrospective analysis.

Setting: Multidisciplinary concussion clinic at a pediatric tertiary-level hospital.

Benign Paroxysmal Positional Vertigo in Children and Adolescents With Concussion.

Background: Dizziness after concussion is primarily attributed to effects on the brain, but traumatic inner ear disorders can also contribute. Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that can result from minor head trauma and can be easily diagnosed and rapidly treated in an office setting. The role of BPPV in pediatric postconcussive dizziness has not been well-studied.

Multifactorial Characteristics of Pediatric Dizziness and Imbalance.

Objectives: To examine the relative prevalence of individual diagnoses in children and adolescents presenting with dizziness and/or imbalance, and to assess the proportion of patients assigned multiple contributing diagnoses.

Study Design: Retrospective cohort study.

Methods: We retrospectively reviewed our internal database of all patients seen at our pediatric vestibular program between January 2012 and March 2019 to determine the incidence of common diagnoses and groups of diagnoses for patients ages 21 or younger.

Severe motion sickness in infants and children.

Introduction: Susceptibility to severe motion sickness has not been well described in the pediatric population, particularly in very young children. This study aimed to describe and evaluate risk factors and treatment responses in a group of children with severe motion sickness, including infants and toddlers.

Methods: We conducted a retrospective review of patients less than 18 years of age seen in our pediatric vestibular program for evaluation of motion sickness over a 6-year period.

Auditory Quality-of-Life Measures in Patients With Traumatic Brain Injury and Normal Pure Tone Audiometry.

Auditory complaints are commonly reported following traumatic brain injury (TBI). However, few studies have examined patient-reported auditory symptomatology and quality-of-life metrics in individuals with TBI. We hypothesize that following TBI, individuals can experience auditory symptoms even with hearing thresholds in the normal range.

Histopathological changes to the peripheral vestibular system following meningitic labyrinthitis.

Objective: While cochlear ossification is a common sequalae of meningitic labyrinthitis, less is known about the effects of meningitis on peripheral vestibular end organs. Herein, we investigate histopathologic changes in the peripheral vestibular system and cochlea in patients with a history of meningitic labyrinthitis.

Methods: Temporal bone (TB) specimens from patients with a history of meningitis were evaluated and compared to age-matched controls.

Torticollis in children with enlarged vestibular aqueducts.

Objectives: To evaluate the association between torticollis and enlarged vestibular aqueduct (EVA).

Methods: An online/phone survey was administered to parents of 133 children diagnosed with the following disorders: EVA, GJB2 (Connexin 26) mutations associated congenital hearing loss and epistaxis (control). The survey included questions regarding symptoms of torticollis, vertigo, and hearing loss.

Prevalence of Pediatric Dizziness and Imbalance in the United States.

Objectives: Understand the prevalence of vestibular symptoms in US children.

Study Design: Cross-sectional analysis.

Setting: 2016 National Health Interview Survey.

Peripheral Vestibular Organ Degeneration After Temporal Bone Fracture: A Human Otopathology Study.

Objectives/hypothesis: Vestibular symptoms are a common sequela of temporal bone fractures (TBFs). The mechanisms of injury to the peripheral vestibular system following TBF, however, are not well described. Herein, we aimed to investigate the histopathology of the peripheral vestibular system in patients who sustained TBFs.

Peripheral Vestibular Disorders in Children and Adolescents with Concussion.

Objective To review peripheral vestibular disorders in pediatric patients with dizziness following concussion. Study Design Case series with chart review. Setting Pediatric vestibular clinic and pediatric multidisciplinary concussion clinic at a tertiary level pediatric hospital.

Benign Paroxysmal Positional Vertigo (BPPV) in Children and Adolescents: Clinical Features and Response to Therapy in 110 Pediatric Patients.

Objective: This study aimed to characterize the clinical features and outcomes of benign paroxysmal positional vertigo (BPPV) in the pediatric population.

Study Design: Retrospective case review.

Setting: Tertiary care center.

Primary parotid lymphoma presenting as a recurrent cystic mass: A case report.

A 15-year-old boy was diagnosed with a cystic parotid mass, which was initially thought to be a first branchial cleft cyst. The mass was treated with antibiotics and fully resolved on examination and imaging. The mass returned, and a superficial parotidectomy was performed to remove the suspected branchial cleft cyst.

Teratoma of the neonatal head and neck: A 41-year experience.

Objective: To review our institution's experience with the presentation, evaluation, and management of teratoma of the head and neck in the neonatal population.

Design: Retrospective case series (November 1970 through September 2011).

Setting: Tertiary care children's hospital.

Vestibular neuritis in children and adolescents: Clinical features and recovery.

Objective: Describe the clinical presentation and recovery of vestibular neuritis in children and adolescents.

Study Design: Retrospective case series.

Setting: Pediatric tertiary care center.