Vertigo and balance in children--diagnostic approach and insights from imaging.
Identifieur interne : 000C15 ( Main/Exploration ); précédent : 000C14; suivant : 000C16Vertigo and balance in children--diagnostic approach and insights from imaging.
Auteurs : Klaus Jahn [Allemagne]Source :
- European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society [ 1532-2130 ] ; 2011.
Descripteurs français
- KwdFr :
- Atteintes du nerf vestibulocochléaire (classification), Atteintes du nerf vestibulocochléaire (physiopathologie), Enfant (MeSH), Humains (MeSH), Imagerie diagnostique (méthodes), Sensation vertigineuse (classification), Sensation vertigineuse (diagnostic), Sensation vertigineuse (physiopathologie), Vertige (classification), Vertige (diagnostic), Vertige (physiopathologie), Voies efférentes (croissance et développement), Voies efférentes (physiopathologie), Épreuves vestibulaires (classification), Épreuves vestibulaires (méthodes), Équilibre postural (physiologie).
- MESH :
- croissance et développement : Voies efférentes.
- diagnostic : Sensation vertigineuse, Vertige.
- méthodes : Imagerie diagnostique, Épreuves vestibulaires.
- physiologie : Équilibre postural.
- physiopathologie : Atteintes du nerf vestibulocochléaire, Sensation vertigineuse, Vertige, Voies efférentes.
- classification : Atteintes du nerf vestibulocochléaire, Enfant, Humains, Sensation vertigineuse, Vertige, Épreuves vestibulaires.
English descriptors
- KwdEn :
- Child (MeSH), Diagnostic Imaging (methods), Dizziness (classification), Dizziness (diagnosis), Dizziness (physiopathology), Efferent Pathways (growth & development), Efferent Pathways (physiopathology), Humans (MeSH), Postural Balance (physiology), Vertigo (classification), Vertigo (diagnosis), Vertigo (physiopathology), Vestibular Function Tests (classification), Vestibular Function Tests (methods), Vestibulocochlear Nerve Diseases (classification), Vestibulocochlear Nerve Diseases (physiopathology).
- MESH :
- classification : Dizziness, Vertigo, Vestibular Function Tests, Vestibulocochlear Nerve Diseases.
- diagnosis : Dizziness, Vertigo.
- growth & development : Efferent Pathways.
- methods : Diagnostic Imaging, Vestibular Function Tests.
- physiology : Postural Balance.
- physiopathology : Dizziness, Efferent Pathways, Vertigo, Vestibulocochlear Nerve Diseases.
- Child, Humans.
Abstract
Common causes of vertigo and dizziness in childhood are vestibular migraine and associated syndromes (benign paroxysmal vertigo), unilateral vestibular failure due to labyrinthitis, positioning vertigo, and somatoform syndromes. Although the same spectrum of diseases as in adults can be found, the frequency differs widely. Further, balance disorders not related to vestibular function, like cerebral palsy, can present with dizziness. Vestibular function can reliably be addressed at the bedside by head impulses to test vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibulo-ocular reflex function can now be quantified by recording eye and head movements with high resolution video-oculography (256 Hz) and inertial sensors. Posturographic measures using artificial neuronal networks are used to classify dysbalance. Quantitative gait analysis further helps to distinguish balance disorders caused by e.g. sensory dysfunction or supraspinal disturbances. Recently, functional neuroimaging opened a view to the brain network for the control of posture and locomotion. From frontal cortex the locomotor signal is conveyed via the basal ganglia to the centers for locomotion and postural control in the brainstem tegmentum. The cerebellum is involved in sensory integration and rhythm generation during postural demands. To summarize, most syndromes causing dizziness, vertigo and imbalance can be diagnosed based on history and clinical tests. However, new data from neurophysiology and imaging help to understand the pathophysiology and the therapeutic principles in these disorders.
DOI: 10.1016/j.ejpn.2011.04.010
PubMed: 21571558
Affiliations:
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last="Jahn">Klaus Jahn</name><affiliation wicri:level="4"><nlm:affiliation>Department of Neurology and Integrated Center for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders IFB, Ludwig-Maximilians University of Munich, Klinikum Grosshadern, Marchioninistr 15, 81377 Munich, Germany. klaus.jahn@med.uni-muenchen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology and Integrated Center for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders IFB, Ludwig-Maximilians University of Munich, Klinikum Grosshadern, Marchioninistr 15, 81377 Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author></analytic><series><title level="j">European journal of paediatric 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scheme="KwdFr" xml:lang="fr"><term>Atteintes du nerf vestibulocochléaire (classification)</term><term>Atteintes du nerf vestibulocochléaire (physiopathologie)</term><term>Enfant (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie diagnostique (méthodes)</term><term>Sensation vertigineuse (classification)</term><term>Sensation vertigineuse (diagnostic)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Vertige (classification)</term><term>Vertige (diagnostic)</term><term>Vertige (physiopathologie)</term><term>Voies efférentes (croissance et développement)</term><term>Voies efférentes (physiopathologie)</term><term>Épreuves vestibulaires (classification)</term><term>Épreuves vestibulaires (méthodes)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dizziness</term><term>Vertigo</term><term>Vestibular Function Tests</term><term>Vestibulocochlear Nerve Diseases</term></keywords><keywords scheme="MESH" qualifier="croissance et développement" xml:lang="fr"><term>Voies efférentes</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="growth & development" xml:lang="en"><term>Efferent Pathways</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diagnostic Imaging</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Imagerie diagnostique</term><term>Épreuves vestibulaires</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Atteintes du nerf vestibulocochléaire</term><term>Sensation vertigineuse</term><term>Vertige</term><term>Voies efférentes</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Efferent Pathways</term><term>Vertigo</term><term>Vestibulocochlear Nerve Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Humans</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="fr"><term>Atteintes du nerf vestibulocochléaire</term><term>Enfant</term><term>Humains</term><term>Sensation vertigineuse</term><term>Vertige</term><term>Épreuves vestibulaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Common causes of vertigo and dizziness in childhood are vestibular migraine and associated syndromes (benign paroxysmal vertigo), unilateral vestibular failure due to labyrinthitis, positioning vertigo, and somatoform syndromes. Although the same spectrum of diseases as in adults can be found, the frequency differs widely. Further, balance disorders not related to vestibular function, like cerebral palsy, can present with dizziness. Vestibular function can reliably be addressed at the bedside by head impulses to test vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibulo-ocular reflex function can now be quantified by recording eye and head movements with high resolution video-oculography (256 Hz) and inertial sensors. Posturographic measures using artificial neuronal networks are used to classify dysbalance. Quantitative gait analysis further helps to distinguish balance disorders caused by e.g. sensory dysfunction or supraspinal disturbances. Recently, functional neuroimaging opened a view to the brain network for the control of posture and locomotion. From frontal cortex the locomotor signal is conveyed via the basal ganglia to the centers for locomotion and postural control in the brainstem tegmentum. The cerebellum is involved in sensory integration and rhythm generation during postural demands. To summarize, most syndromes causing dizziness, vertigo and imbalance can be diagnosed based on history and clinical tests. However, new data from neurophysiology and imaging help to understand the pathophysiology and the therapeutic principles in these disorders.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21571558</PMID><DateCompleted><Year>2012</Year><Month>05</Month><Day>07</Day></DateCompleted><DateRevised><Year>2011</Year><Month>06</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2130</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>4</Issue><PubDate><Year>2011</Year><Month>Jul</Month></PubDate></JournalIssue><Title>European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society</Title><ISOAbbreviation>Eur J Paediatr Neurol</ISOAbbreviation></Journal><ArticleTitle>Vertigo and balance in children--diagnostic approach and insights from imaging.</ArticleTitle><Pagination><MedlinePgn>289-94</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejpn.2011.04.010</ELocationID><Abstract><AbstractText>Common causes of vertigo and dizziness in childhood are vestibular migraine and associated syndromes (benign paroxysmal vertigo), unilateral vestibular failure due to labyrinthitis, positioning vertigo, and somatoform syndromes. Although the same spectrum of diseases as in adults can be found, the frequency differs widely. Further, balance disorders not related to vestibular function, like cerebral palsy, can present with dizziness. Vestibular function can reliably be addressed at the bedside by head impulses to test vestibulo-ocular reflex function, ocular motor testing of the central vestibular system, and balance tests for vestibulo-spinal function. Vestibulo-ocular reflex function can now be quantified by recording eye and head movements with high resolution video-oculography (256 Hz) and inertial sensors. Posturographic measures using artificial neuronal networks are used to classify dysbalance. Quantitative gait analysis further helps to distinguish balance disorders caused by e.g. sensory dysfunction or supraspinal disturbances. Recently, functional neuroimaging opened a view to the brain network for the control of posture and locomotion. From frontal cortex the locomotor signal is conveyed via the basal ganglia to the centers for locomotion and postural control in the brainstem tegmentum. The cerebellum is involved in sensory integration and rhythm generation during postural demands. To summarize, most syndromes causing dizziness, vertigo and imbalance can be diagnosed based on history and clinical tests. However, new data from neurophysiology and imaging help to understand the pathophysiology and the therapeutic principles in these disorders.</AbstractText><CopyrightInformation>Copyright © 2011 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jahn</LastName><ForeName>Klaus</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurology and Integrated Center for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders IFB, Ludwig-Maximilians University of Munich, Klinikum Grosshadern, Marchioninistr 15, 81377 Munich, Germany. klaus.jahn@med.uni-muenchen.de</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><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>05</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Paediatr Neurol</MedlineTA><NlmUniqueID>9715169</NlmUniqueID><ISSNLinking>1090-3798</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003952" MajorTopicYN="N">Diagnostic Imaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004525" MajorTopicYN="N">Efferent Pathways</DescriptorName><QualifierName UI="Q000254" MajorTopicYN="N">growth & development</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000160" MajorTopicYN="N">Vestibulocochlear Nerve Diseases</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>03</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>04</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>5</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>5</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>5</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21571558</ArticleId><ArticleId IdType="pii">S1090-3798(11)00081-X</ArticleId><ArticleId IdType="doi">10.1016/j.ejpn.2011.04.010</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Jahn, Klaus" sort="Jahn, Klaus" uniqKey="Jahn K" first="Klaus" last="Jahn">Klaus Jahn</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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