儿童良性阵发性位置性眩晕
Benign Positional Paroxysmal Vertigo in Children.
作者信息
Balzanelli Cristiano, Spataro Daniele, Redaelli de Zinis Luca Oscar
机构信息
Vertigo Center-San Bernardino Policlinic of Salò, 25087 Brescia, Italy.
ENT Department-ARNAS Garibaldi of Catania, 95123 Catania, Italy.
出版信息
Audiol Res. 2021 Feb 1;11(1):47-54. doi: 10.3390/audiolres11010006.
The aim of this study was to assess the prevalence and analyze clinical parameters of benign positional paroxysmal vertigo (BPPV) in a pediatric age. A cohort of 423 children under the age of 15 (median age 11. interquartile range 9-13) was submitted to vestibular assessment for balance disorders. Dix-Hallpike and Roll-Supine tests were performed to look for positioning nystagmus using video-infrared goggles. BPPV was found in 43 of 423 children evaluated for balance disorders (10.2%). There were 28 females (65.1%) and 15 (34.9%) males. The posterior canal was involved in 79% of cases and the horizontal canal in 21% of cases. No apogeotropic bilateral or anterior canal form were seen. Thus, BPPV is not an infrequent type of vertigo in children and must be evaluated as soon as possible in order to plan the most appropriate maneuver and restore daily activities as soon as possible, avoiding anxiety and fear.
本研究的目的是评估小儿良性阵发性位置性眩晕（BPPV）的患病率并分析其临床参数。对423名15岁以下儿童（中位年龄11岁，四分位间距9 - 13岁）进行队列研究，以评估其平衡障碍的前庭功能。使用视频红外护目镜进行Dix-Hallpike试验和翻滚-仰卧试验，以寻找定位性眼球震颤。在423名接受平衡障碍评估的儿童中，有43名被诊断为BPPV（10.2%）。其中女性28名（65.1%），男性15名（34.9%）。79%的病例累及后半规管，21%的病例累及水平半规管。未发现背地性双侧或前半规管类型。因此，BPPV在儿童中并非罕见的眩晕类型，必须尽快进行评估，以便规划最合适的手法治疗并尽快恢复日常活动，避免焦虑和恐惧。
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