» Articles » PMID: 37788917

Benign Paroxysmal Positional Vertigo in a Young Child

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2023 Oct 3
PMID 37788917
Authors
Affiliations
Soon will be listed here.
Abstract

A girl in her early childhood presented to a regional otolaryngology outpatient clinic with classic signs of benign paroxysmal positional vertigo (BPPV). She reported episodic dizziness when rolling in a supine position. She did not convey any other associated audiovestibular symptoms. A bedside Dix-Hallpike test confirmed geotropic rotational nystagmus indicative of lateral canal BPPV. Due to her young age, limited communicative abilities and concerns for more sinister underlying pathology, a complete neurological examination, MRI and pure tone audiometry were performed. After two sessions of Epley's manoeuvre, she was symptom-free. At her 3-month follow-up, the patient denied any recurrent episodes of vertigo.

References
1.
van de Berg R, Widdershoven J, Bisdorff A, Evers S, Wiener-Vacher S, Cushing S . Vestibular Migraine of Childhood and Recurrent Vertigo of Childhood: Diagnostic criteria Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society and the International Headache Society. J Vestib Res. 2021; 31(1):1-9. PMC: 9249292. DOI: 10.3233/VES-200003. View

2.
Bower C, Cotton R . The spectrum of vertigo in children. Arch Otolaryngol Head Neck Surg. 1995; 121(8):911-5. DOI: 10.1001/archotol.1995.01890080077015. View

3.
Vara Prasad K, Ravi D, Pallikonda V, Raman B . Clinicopathological Study of Pediatric Posterior Fossa Tumors. J Pediatr Neurosci. 2017; 12(3):245-250. PMC: 5696661. DOI: 10.4103/jpn.JPN_113_16. View

4.
Kang W, Lee S, Yang C, Ahn J, Chung J, Park H . Vestibular Function Tests for Vestibular Migraine: Clinical Implication of Video Head Impulse and Caloric Tests. Front Neurol. 2016; 7:166. PMC: 5044462. DOI: 10.3389/fneur.2016.00166. View

5.
Erbek S, Erbek S, Yilmaz I, Topal O, Ozgirgin N, Ozluoglu L . Vertigo in childhood: a clinical experience. Int J Pediatr Otorhinolaryngol. 2006; 70(9):1547-54. DOI: 10.1016/j.ijporl.2006.04.001. View