AI Article Synopsis

  • Vestibular paroxysmia is a rare vestibular disorder caused by the compression or irritation of the eighth cranial nerve, which can be challenging to diagnose in children.
  • A case study discusses a 16-year-old male who experienced episodes of vertigo and unsteadiness weeks after a COVID-19 infection, showing symptoms that included abrupt onset and no loss of consciousness.
  • After testing negative for most conditions and struggling with various treatments, the patient's symptoms improved significantly with carbamazepine, highlighting the importance of timely diagnosis and treatment for better quality of life.

Article Abstract

Vestibular paroxysmia is an episodic vestibular disorder resulting from compression or irritation of the eighth cranial nerve. This disorder is a rare and difficult diagnosis in children. We report the case of a 16-year-old adolescent male with a history of syncope and coronavirus disease 2019 infection four months prior who presented with intermittent episodes of vertigo and unsteadiness several times a week. These events started abruptly, and he appeared frozen. However, he remained conscious and was able to answer questions. He subsequently resumed normal activity in less than a minute without seizure stigmata or postictal period. His general and neurological examinations were unremarkable. Extensive diagnostic evaluation yielded negative results, except for an electrocardiogram consistent with Wolff-Parkinson-White syndrome. However, his symptoms persisted after cardiac ablation, suggesting they were not related to this arrhythmia. Following unsuccessful trials with various medications, his symptoms resolved with carbamazepine. Early recognition and appropriate treatment of this condition could substantially improve the quality of life for affected individuals.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pediatrneurol.2024.08.010DOI Listing

Publication Analysis

Top Keywords

vestibular paroxysmia
8
complex presentation
4
presentation vestibular
4
paroxysmia adolescent
4
adolescent wolff-
4
wolff- parkinson-white
4
parkinson-white syndrome
4
syndrome vestibular
4
paroxysmia episodic
4
episodic vestibular
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!