Fancello Virginia, Palma Silvia, Monzani Daniele, Pelucchi Stefano, Genovese Elisabetta, Ciorba Andrea
ENT & Audiology Unit, Department of Neurosciences, University Hospital of Ferrara, 44124 Cona, Italy.
Audiology, Primary Care Unit, 41100 Modena, Italy.
Children (Basel). 2021 Nov 8;8(11):1025. doi: 10.3390/children8111025.
Vertigo and dizziness are relatively infrequent in paediatric patients, but specific data on the prevalence of these disorders are limited and influenced by various factors, including the age of the examined population. These conditions often have a significant impact on patients' and parents' quality of life. The aim of this paper is to investigate the prevalence of different aetiologies of vertigo in the paediatric population through a systematic review.
According to PRISMA guidelines, a systematic review of the literature was performed. Medline and Embase were searched from January 2011 through to 10 September 2021. The search yielded 1094 manuscripts, which were reduced to 7 upon the application of inclusion criteria.
A total of 2470 paediatric patients were evaluated by the selected papers. Vestibular Migraine was the most frequently diagnosed condition, occurring alone or in association with other diseases. Overall, audio-vestibular disorders represented the second cause of vertigo, and the prevalence appears to increase according to age growth. Over the years, even though we assisted in the amelioration of diagnostic rates, partially related to an improvement in diagnostic tools, the aetiology of vertigo remains still unclear in a variable percentage of patients.
Vertigo in children, despite being an uncommon symptom, requires a multidisciplinary approach, often involving Paediatricians, Neurologists and Otorhinolaryngologists. A comprehensive evaluation of children suffering from vertigo is crucial for establishing a successful therapy and reducing parental worries.
眩晕和头晕在儿科患者中相对不常见，但关于这些疾病患病率的具体数据有限，且受多种因素影响，包括受检人群的年龄。这些情况往往对患者及其父母的生活质量有重大影响。本文旨在通过系统评价研究儿科人群中不同病因眩晕的患病率。
根据PRISMA指南，对文献进行系统评价。检索了2011年1月至2021年9月10日期间的Medline和Embase。检索得到1094篇手稿，应用纳入标准后减少至7篇。
所选论文共评估了2470例儿科患者。前庭性偏头痛是最常诊断出的疾病，单独发生或与其他疾病相关。总体而言，听觉-前庭障碍是眩晕的第二大原因，患病率似乎随着年龄增长而增加。多年来，尽管我们看到诊断率有所提高，部分与诊断工具的改进有关，但仍有一定比例的患者眩晕病因不明。
儿童眩晕尽管是一种不常见的症状，但需要多学科方法，通常涉及儿科医生、神经科医生和耳鼻喉科医生。对眩晕儿童进行全面评估对于建立成功的治疗方案和减轻家长担忧至关重要。
