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Vestibular Syndromes in Childhood and Adolescence

Introduction  The prevalence of vestibular disorders in childhood ranges from 0.4% to 15%; they may be the result of several factors, but most of the time it's an episodic vestibular syndrome related to migraine equivalents. Objective  To evaluate the diagnostic and therapeutic aspects of child...

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Autores principales: Duarte, Juliana Antoniolli, Leão, Elisa Morais, Fragano, Daniel Sobral, Marquez, Germana Jardim, Pires, Anna Paula Batista de Ávila, Silva, Maria Laura Solferini, Ganança, Fernando Freitas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7575395/
https://www.ncbi.nlm.nih.gov/pubmed/33101514
http://dx.doi.org/10.1055/s-0039-3402443
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author Duarte, Juliana Antoniolli
Leão, Elisa Morais
Fragano, Daniel Sobral
Marquez, Germana Jardim
Pires, Anna Paula Batista de Ávila
Silva, Maria Laura Solferini
Ganança, Fernando Freitas
author_facet Duarte, Juliana Antoniolli
Leão, Elisa Morais
Fragano, Daniel Sobral
Marquez, Germana Jardim
Pires, Anna Paula Batista de Ávila
Silva, Maria Laura Solferini
Ganança, Fernando Freitas
author_sort Duarte, Juliana Antoniolli
collection PubMed
description Introduction  The prevalence of vestibular disorders in childhood ranges from 0.4% to 15%; they may be the result of several factors, but most of the time it's an episodic vestibular syndrome related to migraine equivalents. Objective  To evaluate the diagnostic and therapeutic aspects of children with vestibular signs and symptoms. Methods  The present cross-sectional study evaluated data from the records of patients treated in an outpatient pediatric neurotology clinic over a 10-year period. These data included sociodemographic and clinical variables, results of complementary examinations, the treatment provided, and the clinical evolution. Results  The sample was composed of 117 patients, with 54.7% of female subjects with a mean age of 10 years. The most prevalent diagnosis was benign paroxysmal vertigo of childhood (BPVC) (41.9%), followed by vestibular migraine (16.2%). The most prevalent complaint was vertigo (53.9% of the cases). Most patients (66.7%) had inadequate eating habits. Improvement of symptoms was observed in 40.4% of the patients treated with dietary guidance alone. In 80% of the cases, dietary counseling in combination with vestibular rehabilitation therapy achieved therapeutic success without the need of a drug treatment. Conclusion  The predominant diagnosis was of BPVC, and its close relationship with the personal and family history of migraine, its benign evolution, and the importance of dietary guidance and vestibular rehabilitation for therapeutic success were observed.
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spelling pubmed-75753952020-10-22 Vestibular Syndromes in Childhood and Adolescence Duarte, Juliana Antoniolli Leão, Elisa Morais Fragano, Daniel Sobral Marquez, Germana Jardim Pires, Anna Paula Batista de Ávila Silva, Maria Laura Solferini Ganança, Fernando Freitas Int Arch Otorhinolaryngol Introduction  The prevalence of vestibular disorders in childhood ranges from 0.4% to 15%; they may be the result of several factors, but most of the time it's an episodic vestibular syndrome related to migraine equivalents. Objective  To evaluate the diagnostic and therapeutic aspects of children with vestibular signs and symptoms. Methods  The present cross-sectional study evaluated data from the records of patients treated in an outpatient pediatric neurotology clinic over a 10-year period. These data included sociodemographic and clinical variables, results of complementary examinations, the treatment provided, and the clinical evolution. Results  The sample was composed of 117 patients, with 54.7% of female subjects with a mean age of 10 years. The most prevalent diagnosis was benign paroxysmal vertigo of childhood (BPVC) (41.9%), followed by vestibular migraine (16.2%). The most prevalent complaint was vertigo (53.9% of the cases). Most patients (66.7%) had inadequate eating habits. Improvement of symptoms was observed in 40.4% of the patients treated with dietary guidance alone. In 80% of the cases, dietary counseling in combination with vestibular rehabilitation therapy achieved therapeutic success without the need of a drug treatment. Conclusion  The predominant diagnosis was of BPVC, and its close relationship with the personal and family history of migraine, its benign evolution, and the importance of dietary guidance and vestibular rehabilitation for therapeutic success were observed. Thieme Revinter Publicações Ltda 2020-10 2020-02-27 /pmc/articles/PMC7575395/ /pubmed/33101514 http://dx.doi.org/10.1055/s-0039-3402443 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Duarte, Juliana Antoniolli
Leão, Elisa Morais
Fragano, Daniel Sobral
Marquez, Germana Jardim
Pires, Anna Paula Batista de Ávila
Silva, Maria Laura Solferini
Ganança, Fernando Freitas
Vestibular Syndromes in Childhood and Adolescence
title Vestibular Syndromes in Childhood and Adolescence
title_full Vestibular Syndromes in Childhood and Adolescence
title_fullStr Vestibular Syndromes in Childhood and Adolescence
title_full_unstemmed Vestibular Syndromes in Childhood and Adolescence
title_short Vestibular Syndromes in Childhood and Adolescence
title_sort vestibular syndromes in childhood and adolescence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7575395/
https://www.ncbi.nlm.nih.gov/pubmed/33101514
http://dx.doi.org/10.1055/s-0039-3402443
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