儿科急诊科的眩晕/头晕：五年经验
Vertigo/dizziness in pediatric emergency department: Five years' experience.
作者信息
Raucci Umberto, Vanacore Nicola, Paolino Maria Chiara, Silenzi Romina, Mariani Rosanna, Urbano Antonella, Reale Antonino, Villa Maria Pia, Parisi Pasquale
机构信息
Emergency Pediatric Department, Bambino Gesù Children's Hospital, IRCCS, Italy.
National Centre for Epidemiology, Surveillance, and Health Promotion, National Institute of Health, Italy.
出版信息
Cephalalgia. 2016 May;36(6):593-8. doi: 10.1177/0333102415606078. Epub 2015 Sep 16.
BACKGROUND
Vertigo/Dizziness in childhood is not a rare cause of visits to the emergency department (ED). We analyzed a selected group with vertigo/dizziness to identify signs and symptoms that may help to guide the diagnostic approach and management.
METHODS
A total of 616 children admitted for vertigo to the ED over a five-year period were retrospectively reviewed. Their medical history, clinical characteristics, laboratory and neuroimaging tests, final diagnoses and management were analyzed.
RESULTS
Migraine and syncope were the most frequent causes. Two patients were affected by life-threatening cardiac syncope, while structural life-threatening central nervous system diseases were found in 15 patients, none of whom presented with vertigo as an isolated clinical finding.
CONCLUSIONS
Most cases of vertigo/dizziness in childhood that consist mainly of migraine and syncope are of benign origin. The prompt identification of neurological or cardiological signs or symptoms associated with vertigo in children is mandatory to rule out life-threatening conditions.
背景
儿童眩晕/头晕是急诊就诊的常见原因之一。我们分析了一组眩晕/头晕患儿，以确定有助于指导诊断方法和治疗的体征和症状。
方法
回顾性分析了五年期间因眩晕入住急诊的616例儿童。分析了他们的病史、临床特征、实验室和神经影像学检查、最终诊断和治疗情况。
结果
偏头痛和晕厥是最常见的病因。2例患儿患有危及生命的心脏性晕厥，15例患儿发现有危及生命的中枢神经系统结构性疾病，但均无眩晕作为孤立的临床表现。
结论
儿童眩晕/头晕大多主要由偏头痛和晕厥引起，病因多为良性。必须及时识别儿童眩晕相关的神经或心脏体征或症状，以排除危及生命的情况。
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