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Journals / Türk Otolarengoloji Arşivi / 2002 / Cilt: 40 - Sayı: 2

Peripheral vestibular problems in children and adolescents

Çocuk ve adolesanlarda periferik vestibüler problemler

Alev ÜNERİ
Dilşad TÜRKDOĞAN
Pages
120–124
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As a conclusion, the subjects with an associated migraine may solely have spontaneous vestibular nystagmus; these attacks may present as dizziness attacks with spontaneous vestibular nystagmus, as well, may present as typical vestibular attacks with benign paroxysmal positional vertigo or fluctuating SNHL.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Peripheral vestibular problems are rarely reported in children and adolescents.
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Key Findings & Data:In this study, we present 34 cases with a diagnosis of peripheral vestibular disease.
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Conclusion & Impact:As a conclusion, the subjects with an associated migraine may solely have spontaneous vestibular nystagmus; these attacks may present as dizziness attacks with spontaneous vestibular nystagmus, as well, may present as typical vestibular attacks with benign paroxysmal positional vertigo or fluctuating SNHL.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Peripheral vestibular problems are rarely reported in children and adolescents. In this study, we present 34 cases with a diagnosis of peripheral vestibular disease. The subjects having a detailed analysis of personal and family histories were evaluated with neurotological and neurological examinations. Pure tone audiometry, tympanometry, electronystagmography (ENG) and videonystagmography (VNG) tests were applied. Thirty (88%) cases had motion sickness, 12 (35%) cases had migraine attacks and 29 (85%) cases had first degree relatives with migraine and 22 (65%) cases had first degree relatives with a history of dizziness. Two kinds of nystagmus were detected due to ENG and VNG: spontaneous vestibular nystagmus (41%) and positional vestibular nystagmus (59%). Bilateral sensorineural hearing loss (SNHL) of low frequencies were detected in 4 (12%) cases. The pure tone averages of 30 (88%) cases were between normal limits but, low frequencies were 10 dB lower than the high frequencies bilaterally. Decreased unilateral caloric response was detected in 8 cases (23.5%). As a conclusion, the subjects with an associated migraine may solely have spontaneous vestibular nystagmus; these attacks may present as dizziness attacks with spontaneous vestibular nystagmus, as well, may present as typical vestibular attacks with benign paroxysmal positional vertigo or fluctuating SNHL.

Özet

Periferik vestibüler problemler çocuk ve adolesanlarda nadir olarak rapor edilirler. Çalışmamızda, kliniğimizde periferik vestibüler hastalık tanısı alan 34 olguyu sunuyoruz. Ayrıntılı anamnez ve aile öyküleri alınan tüm olguların nörotolojik ve nörolojik muayeneleri yapıldı. Bütün hastalara saf ses odyometri, timpanometri, elektronistagmografi (ENG) ve videonistagmografi (VNG) uygulandı. Otuz (%88) olguda taşıt tutması, 12 (%35) olguda migren atağı, 29 (%85) olgunun birinci derece akrabalarında migren atağı, 22 (%65) olgunun birinci derece yakınlarında ise baş dönmesi öyküsü elde edildi. ENG ve VNG analizleri sonucunda olgularda iki tipte nistagmus tespit edildi: spontan vestibüler nistagmuslar (%41) ve pozisyonel vestibüler nistagmuslar (%59). Odyometrik incelemelerde dört olguda (%12) alçak frekansları tutan bilateral sensörinöral işitme kaybı (SNİK) tespit edildi. Otuz (%88) olgunun saf ses ortalamaları normal sınırlarda olmakla birlikte bu olguların yirmi sekizinde (%82) bilateral alçak frekansların yüksek frekanslardan ortalama 10 dB daha düşük olduğu bulundu. Kalorik test analizlerinde 8 olguda (%23.5) tek taraflı azalmış kalorik cevap tespit edildi. Sonuç olarak, migrenle bağlantıları olan olguların periyodik olarak periferik vestibüler ataklar geçirebileceğini, bu atakların yalnızca spontan vestibüler nistagmusla seyreden dizziness atakları olabileceği gibi benign paroksismal pozisyonel vertigo atakları ya da dalgalı SNİK ile giden tipik vestibüler ataklar şeklinde de görülebileceğini düşünmekteyiz.

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Cite This Article

ÜNERİ, A., TÜRKDOĞAN, D. (2022). Peripheral vestibular problems in children and adolescents. Türk Otolarengoloji Arşivi, Cilt: 40 - Sayı: 2, 120–124. https://ajindex.com/articles/640100

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