Benign Paroxysmal Positional Vertigo in 2 Children: A Case Series.

Purpose: The purpose of this case report is to present the cases of 2 boys with benign paroxysmal positional vertigo (BPPV).

Key Points: Patient A (11 years old) and Patient B (9 years old) had complaints of vertigo with position changes. Both exhibited left torsion upbeating nystagmus in the left Dix-Hallpike (DH) test and complaints of vertigo with reproduction of their symptoms, indicating BPPV. Both were treated with a left canalith repositioning maneuver and reported decreased incidence of positional vertigo upon reevaluation. Scores on the Dizziness Handicap Inventory and the Visual Analog Scale for Dizziness decreased after treatment for 1 of the boys.

Conclusion: Benign paroxysmal positional vertigo is considered rare in children. Migraines may also cause vertigo. Differential diagnosis in these cases was made by performing the DH test.

Recommendations For Clinical Practice: Children with vertigo should be screened for BPPV through use of history taking, and the DH test.