Vertigo and dizziness in childhood - update on diagnosis and treatment.
Identifieur interne : 000C16 ( Main/Curation ); précédent : 000C15; suivant : 000C17Vertigo and dizziness in childhood - update on diagnosis and treatment.
Auteurs : K. Jahn [Allemagne] ; T. Langhagen ; A S Schroeder ; F. HeinenSource :
- Neuropediatrics [ 1439-1899 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Sensation vertigineuse, Vertige.
- méthodes : Épreuves vestibulaires.
- thérapie : Sensation vertigineuse, Vertige.
- épidémiologie : Sensation vertigineuse, Vertige.
- Enfant, Enfant d'âge préscolaire, Humains.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Dizziness, Vertigo.
- epidemiology : Dizziness, Vertigo.
- methods : Vestibular Function Tests.
- therapy : Dizziness, Vertigo.
- Child, Child, Preschool, Humans.
Abstract
Vertigo and balance disorders are not uncommon in children. The prevalence of vestibular vertigo in 10-year-Dolds is estimated to be 5.7%. The most common cause is vestibular migraine which accounts for almost 40% of the diagnoses. In adolescents, the incidence of somatoform vertigo syndromes increases. Vestibular function can be reliably evaluated at the bedside by the head-impulse test for vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibular migraine is treated by behavioural and drug therapies. Somatoform vertigo improves if information about the disorder and behavioual advice are provided. Sometimes psychotherapy is useful; drug therapy is recommended in severe cases. Other common vestibular disorders in children include benign positioning nystagmus and labyrinthitis. In summary, the underlying causes of vertigo and dizziness in children can be diagnosed on the basis of patient history and clinical bedside testing. Reponses to caloric irrigation of the ears, rotational chair testing, posturography, and video-oculography can be used to ascertain the diagnosis. Brain imaging is indicated in patients presenting with subacute central vestibular signs. The majority of syndromes have a favourable prognosis and can be successfully treated.
DOI: 10.1055/s-0031-1283158
PubMed: 21766267
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Jahn</name><affiliation wicri:level="1"><nlm:affiliation>Ludwig-Maximilians University of Munich, Munich, Germany. klaus.jahn@med.uni-muenchen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Ludwig-Maximilians University of Munich, Munich</wicri:regionArea></affiliation></author><author><name sortKey="Langhagen, T" sort="Langhagen, T" uniqKey="Langhagen T" first="T" last="Langhagen">T. Langhagen</name></author><author><name sortKey="Schroeder, A S" sort="Schroeder, A S" uniqKey="Schroeder A" first="A S" last="Schroeder">A S Schroeder</name></author><author><name sortKey="Heinen, F" sort="Heinen, F" uniqKey="Heinen F" first="F" last="Heinen">F. Heinen</name></author></analytic><series><title level="j">Neuropediatrics</title><idno type="eISSN">1439-1899</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Dizziness (diagnosis)</term><term>Dizziness (epidemiology)</term><term>Dizziness (therapy)</term><term>Humans (MeSH)</term><term>Vertigo (diagnosis)</term><term>Vertigo (epidemiology)</term><term>Vertigo (therapy)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Humains (MeSH)</term><term>Sensation vertigineuse (diagnostic)</term><term>Sensation vertigineuse (thérapie)</term><term>Sensation vertigineuse (épidémiologie)</term><term>Vertige (diagnostic)</term><term>Vertige (thérapie)</term><term>Vertige (épidémiologie)</term><term>Épreuves vestibulaires (méthodes)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Épreuves vestibulaires</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vertigo and balance disorders are not uncommon in children. The prevalence of vestibular vertigo in 10-year-Dolds is estimated to be 5.7%. The most common cause is vestibular migraine which accounts for almost 40% of the diagnoses. In adolescents, the incidence of somatoform vertigo syndromes increases. Vestibular function can be reliably evaluated at the bedside by the head-impulse test for vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibular migraine is treated by behavioural and drug therapies. Somatoform vertigo improves if information about the disorder and behavioual advice are provided. Sometimes psychotherapy is useful; drug therapy is recommended in severe cases. Other common vestibular disorders in children include benign positioning nystagmus and labyrinthitis. In summary, the underlying causes of vertigo and dizziness in children can be diagnosed on the basis of patient history and clinical bedside testing. Reponses to caloric irrigation of the ears, rotational chair testing, posturography, and video-oculography can be used to ascertain the diagnosis. Brain imaging is indicated in patients presenting with subacute central vestibular signs. The majority of syndromes have a favourable prognosis and can be successfully treated.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21766267</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>24</Day></DateCompleted><DateRevised><Year>2011</Year><Month>09</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-1899</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>4</Issue><PubDate><Year>2011</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Neuropediatrics</Title><ISOAbbreviation>Neuropediatrics</ISOAbbreviation></Journal><ArticleTitle>Vertigo and dizziness in childhood - update on diagnosis and treatment.</ArticleTitle><Pagination><MedlinePgn>129-34</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0031-1283158</ELocationID><Abstract><AbstractText>Vertigo and balance disorders are not uncommon in children. The prevalence of vestibular vertigo in 10-year-Dolds is estimated to be 5.7%. The most common cause is vestibular migraine which accounts for almost 40% of the diagnoses. In adolescents, the incidence of somatoform vertigo syndromes increases. Vestibular function can be reliably evaluated at the bedside by the head-impulse test for vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibular migraine is treated by behavioural and drug therapies. Somatoform vertigo improves if information about the disorder and behavioual advice are provided. Sometimes psychotherapy is useful; drug therapy is recommended in severe cases. Other common vestibular disorders in children include benign positioning nystagmus and labyrinthitis. In summary, the underlying causes of vertigo and dizziness in children can be diagnosed on the basis of patient history and clinical bedside testing. Reponses to caloric irrigation of the ears, rotational chair testing, posturography, and video-oculography can be used to ascertain the diagnosis. Brain imaging is indicated in patients presenting with subacute central vestibular signs. The majority of syndromes have a favourable prognosis and can be successfully treated.</AbstractText><CopyrightInformation>Georg Thieme Verlag Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jahn</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Ludwig-Maximilians University of Munich, Munich, Germany. klaus.jahn@med.uni-muenchen.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Langhagen</LastName><ForeName>T</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Schroeder</LastName><ForeName>A S</ForeName><Initials>AS</Initials></Author><Author ValidYN="Y"><LastName>Heinen</LastName><ForeName>F</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>07</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Neuropediatrics</MedlineTA><NlmUniqueID>8101187</NlmUniqueID><ISSNLinking>0174-304X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>7</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21766267</ArticleId><ArticleId IdType="doi">10.1055/s-0031-1283158</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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