AI Article Synopsis
- The study analyzed 120 children diagnosed with vertigo in a Beijing hospital over a four-year period, focusing on the disease composition, symptoms, diagnosis, and treatment.
- The main causes of vertigo identified included vestibular migraine of childhood, recurrent vertigo, and secretory otitis media, with variations in prevalence among different age groups.
- The findings highlight the importance of using age-appropriate examination techniques and addressing the mental health of both children and their parents during treatment.
Article Abstract
To investigate the disease composition, clinical features, diagnosis, and treatment characteristics of vertigo in children. A total of 120 children with vertigo diagnosed and treated in the Department of Otorhinolaryngology, Children's Hospital, Capital Institute of Pediatrics in Beijing from February 2018 to February 2022 were retrospectively analyzed to explore the clinical characteristics of common peripheral vertigo in children and to summarize the experience of diagnosis and treatment. The etiological composition of 120 cases of vertigo in children are as follows: 63 (52.5%) cases of vestibular migraine of childhood (VMC), 19 (15.8%) of recurrent vertigo of childhood (RVC), 11 (9.2%) of probable vestibular migraine of childhood (PVMC), 10 (8.3%) of secretory otitis media (SOM), 6 (5.0%) of persistent postural-perceptual dizziness (PPPD), 4 (3.3%) of benign paroxysmal positional vertigo (BPPV), 2 (1.7%) of vestibular neuritis (VN), 2 (1.7%) of Meniere's disease (MD), 2 (1.7%) of inner ear malformation (IEM), and 1 (0.8%) of vestibular paroxysmal syndrome (VP).The major cause of vertigo in children of different ages was different. SOM was the most important cause in preschool children, followed by RVC and VMC; VMC was the most important cause in school-age children, followed by RVC; and MD and BPPV were exclusive found in adolescents. The incidence rate of PPPD was higher in adolescents than in preschool and school-age children. Children with vertigo had good prognosis in general. VMC, RVC and SOM are the most common causes in vertigo in children, and their proportion was different in different aged children. Transforming abstract feelings into specific information is the skill required for collecting medical history of children with vertigo. Considering the age and cooperation of children, appropriate hearing and vestibular examination techniques are recommended. We should pay more attention to the mental health of children with vertigo and their parents.
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| http://dx.doi.org/10.3760/cma.j.cn112138-20240318-00179 | DOI Listing |
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Article Synopsis
- Episodic ataxia type 2 (EA2) is a genetic disorder causing dizziness and coordination issues, linked to mutations in the calcium channel gene; this study focused on assessing intellectual abilities in affected individuals.
- Researchers evaluated 13 patients in South Korea using the Wechsler Intelligence Scales and found that most had below-average IQ scores, with significant cognitive deficits across multiple areas.
- The findings suggest that individuals with EA2 may experience hidden intellectual disabilities unrelated to epilepsy; therefore, early diagnosis and management are crucial to prevent further brain function decline and may benefit from genetic counseling.
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