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Benign Paroxysmal Positional Vertigo in Children.

Clinical Otolaryngology 2018 September 17
OBJECTIVE: To describe the clinical features of benign paroxysmal positional vertigo (BPPV) in children.

DESIGN: A retrospective study.

SETTING: Six children diagnosed with BPPV between March 2014 and March 2015 were retrospectively evaluated. BPPV was diagnosed using the Dix-Hallpike and supine roll test and treated with either the modified Epley particle repositioning procedure or Lempert or Gufoni maneuver. Follow-up was performed at 1-week intervals until vertigo and nystagmus disappeared during positional testing.

PARTICIPANTS: A total of six children were followed-up for a period of 10 to 22 months.

MAIN OUTCOME MEASURES: Clinical features such as history, nystagmus and symptoms of vertigo, dizziness and nausea.

RESULTS: Six children were diagnosed with BPPV using positional testing and treated with the modified Epley or Lempert/Gufoni particle repositioning procedures. Four children were diagnosed with posterior canal BPPV, while the remaining two were diagnosed with horizontal canal BPPV. One girl reported a history of head trauma, one girl had a family history of vertigo, and one boy reported hearing loss in the same ear as that affected by BPPV. Overall, 83.33% of children (5/6) were completely relieved of vertigo following one treatment session. The remaining child was asymptomatic after two sessions. No child reported relapse of vertigo during the follow-up period.

CONCLUSIONS: BPPV can be diagnosed accurately by taking a detailed medical history and by use of positional testing. BPPV in children can be successfully identified and treated. This article is protected by copyright. All rights reserved.

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