Morgon A
Clinique d'Oto-Rhino-Laryngologie, Hôpital Edouard-Herriot, Lyon.
Ann Pediatr (Paris). 1992 Oct;39(8):519-22.
The main difference between childhood and adulthood vertigo is that the evaluation of symptoms and examination pose special challenges in pediatric patients, depending on age. Vertigo in pre-teenage children is similar to vertigo in adults. In contrast, although benign paroxysmal vertigo, vestibular neuronitis, and Ménière's vertigo occur in children, the distribution of these conditions is different from that seen in adults. After vestibular and cochlear investigations as well as a CT scan or MRI study to outrule a tumor of the posterior cerebral fossa, the diagnosis of vestibular vertigo is established. Often, the diagnosis proposed cannot be considered as final and requires reappraisal according to the long-term course. Collation of case-reports with highly accurate documents is essential in order to strive to develop more satisfactory approaches.
儿童眩晕与成人眩晕的主要区别在于，根据年龄不同，对症状的评估和检查在儿科患者中带来特殊挑战。青少年前期儿童的眩晕与成人眩晕相似。相比之下，虽然儿童也会发生良性阵发性眩晕、前庭神经炎和梅尼埃病性眩晕，但这些病症的分布与成人不同。在进行前庭和耳蜗检查以及CT扫描或MRI研究以排除后颅窝肿瘤后，即可确立前庭性眩晕的诊断。通常，所提出的诊断不能被视为最终诊断，需要根据长期病程进行重新评估。为了努力开发更令人满意的方法，将病例报告与高度准确的文件进行核对至关重要。
