良性阵发性位置性眩晕在儿童中罕见吗？20 例病例及其流行病学回顾。

How rare is benign paroxysmal positional vertigo in children? A review of 20 cases and their epidemiology.

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, Republic of Korea; Laboratory of Brain and Cognitive Sciences for Convergence Medicine, Hallym University College of Medicine, Chuncheon, Republic of Korea.

Laboratory of Brain and Cognitive Sciences for Convergence Medicine, Hallym University College of Medicine, Chuncheon, Republic of Korea.

出版信息

Int J Pediatr Otorhinolaryngol. 2020 May;132:110008. doi: 10.1016/j.ijporl.2020.110008. Epub 2020 Mar 15.

DOI:10.1016/j.ijporl.2020.110008

PMID:32240880

Abstract

OBJECTIVE

The clinical features and incidence of benign paroxysmal positional vertigo (BPPV) are not well known in pediatric populations. The aim of this study was to describe the clinical characteristics of pediatric BPPV and to estimate the frequency of pediatric BPPV in the general population.

METHODS

We retrospectively reviewed the medical records of 20 children (6-14 years old) diagnosed with BPPV between 2007 and 2017. The age/sex distribution of BPPV for all ages at our hospital and in the Korean Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) database were compared. The annual incidence and proportion of children with BPPV were calculated.

RESULTS

BPPV occurred 1.86 times more frequently in girls than in boys. Nine children (45%) had associated comorbidities, such as inner ear disorders and recent head trauma. The posterior and lateral semicircular canals were most commonly involved (n = 9 for each), and recurrence was observed in two patients (10%). Children younger than 15 years accounted for approximately 1% of all BPPV cases. The annual incidence of BPPV was 171.5/100,000 for all ages and 9.5/100,000 in the pediatric population.

CONCLUSIONS

Our findings suggest that pediatric BPPV is a relatively uncommon cause of vertigo in children and that the rates of related illness and recurrence are high.

摘要

目的

良性阵发性位置性眩晕（BPPV）在儿科人群中的临床特征和发病率尚不清楚。本研究旨在描述儿科 BPPV 的临床特征，并估计儿科 BPPV 在普通人群中的频率。

方法

我们回顾性分析了 2007 年至 2017 年间诊断为 BPPV 的 20 名儿童（6-14 岁）的病历。比较了我院和韩国健康保险审查与评估服务-国家患者样本（HIRA-NPS）数据库中所有年龄段 BPPV 的年龄/性别分布。计算了儿童 BPPV 的年发病率和比例。

结果

BPPV 在女孩中的发生率是男孩的 1.86 倍。9 名儿童（45%）存在相关合并症，如内耳疾病和近期头部外伤。最常见受累的是后半规管和外半规管（各 9 例），2 例患者（10%）复发。15 岁以下儿童约占所有 BPPV 病例的 1%。所有年龄段的 BPPV 年发病率为 171.5/100,000，儿科人群为 9.5/100,000。