Retrospective study: Diagnostic trend and epidemiological profile in neurootological consultations in pediatric patients, Hospital Británico de Buenos Aires, 2013-2016

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Ana Carolina Binetti
Melissa Castillo Bustamante
María Andrea Ricardo

Abstract

Objective: Balance disorders in patients during pediatric ages are a diagnostic and therapeutic challenge for pediatricians and otorhinolaryngologists due to the difficulty of symptom description. In Latin America, there are few studies on the epidemiological profile of pediatric patients with balance disorders. The aim of this study is to describe the trends in vestibular pathology in pediatric patients seen over the last three years at Hospital Británico de Buenos Aires.


Methodology: Observational, descriptive, retrospective study. We reviewed the medical history of patients under 16 who sought medical attention due to balance disorders from 2013 to 2016.


Results: Study participants had a mean age of 9.07, of whom more patients were female. The main symptoms were vertigo and dizziness in girls and dizziness in boys. The main diagnosis for both girls and boys was vestibular migraine. For patients (both boys and girls) whose main symptom was vertigo, final diagnosis was infant paroxysmal positional vertigo and vestibular migraine.


Conclusions: In the population studied, the symptom most commonly leading to seeking medical attention was vertigo. More girls sought medical attention than boys, and the mean age of the total population studied was 9.07. The most frequent diagnosis, both in girls and boys, was vestibular migraine.

Keywords:
neurotology, vertigo, child

Article Details

Author Biographies

Ana Carolina Binetti, British Hospital of Buenos Aires.

Doctor, otolaryngologist. Staff physician at the British Hospital in Buenos Aires. Medical Director of Vestibular Argentina. Buenos Aires, Argentina.

Melissa Castillo Bustamante, British Hospital of Buenos Aires.

Postgraduate student at the Argentine Catholic University. Third year resident, British Hospital of Buenos Aires. Buenos Aires, Argentina.

References

Batu ED, Anlar B, Topçu M, Turanlı G, Aysun S. Vertigo in childhood: A retrospective series of 100 children. Eur J Paediatr Neurol. 2015; 19(2):226-232.

Herraiz, C, Calvin F. The migraine: Benign paroxysmal vertigo of childhood complex. Int Tinnitus J 1999; (5):50-52.

Suarez H, Angeli S, Suarez A, Rosales B, Carrera X, Alonso R. Balance sensory organization in children with profound hearing loss and cochlear implants. Int J Pediatr Otorhinolaryngol 2007; 71:629–637.

Torriceli, R. Vertigo en el niño. Medicina (Buenos Aires) 2007; 67 (6): 631-638.

Casselbrandt ML, Mandel EM. Balance Disorders in Children. Neurol Clin 2005; 23:807-829.

Rosdan S. Basheer L, Mohd Khairi MD. Clinical characteristic of vertigo in children. Med J Malaysia 2015; 70(4):220-223.

Riina N, Ilmari P, Kentala E. Vertigo and imbalance in children: A retrospective study in a Helsinki university otorhinolaryngology clinic. Arch Otolaryngol Head Neck Surg 2005; 131(11):996-1000.

Al-Twaijri WA, Shevell MI. Pediatric migraine equivalents: Occurrence and clinical features in practice. Pediatr Neurol 2002; 26:365-368.

Parker C. Complicated migraine syndromes and migraine variants. Pediatr Ann 1997;26:417-421.

Krams B, Echenne B, Leydet J, Rivier F, Roubertie A. Benign paroxysmal vertigo of childhood: Long-term outcome. Cephalalgia 2011; 31(4):439-443.

Weisleder P, Fife TD. Dizziness and headache: A common association in children and adolescents. J Child Neurol 2001; 16:727-730.

Langhagen T, Lehrer N, Borggraefe I, Heinen F, Jahn K. Vestibular migraine in children and adolescents: Clinical findings and laboratory tests. Front Neurol 2015; 5:292.

Gruber M, Cohen-Kerem R, Kaminer M, Shupak A. Vertigo in children and adolescents: Characteristics and outcome. The Scientific World Journal. 2012; 2012:109624.

Szirmai A. Vestibular disorders in childhood and adolescents. Eur Arch Otorhinolaryngol 2010; 267(11):1801–1804.

Sousa MGC, Cruz O, Santos AN, Ganança C, Almeida L, Sena ED. Brazilian adaptation of the dizziness handicap inventory for the pediatric population: Reliability of the results. Audiol Commun Res 2015; 20(4):327-335.

Valent M, McCaslin DL. Vestibular disorders and evaluation of the pediatric patient. Rockville: The ASHA Leader; 2011. Disponible en: http://www.asha.org/Publications/leader/2011/110315/ Vestibular-Disorders-and-Evaluation-of-the- Pediatric-Patient.htm

Martin-Sanz E, Barona de Guzmán R. Vértigo paroxístico benigno infantil: categorización y comparación con el vértigo posicional paroxístico benigno del adulto. Acta Otorrinolaringol Esp 2007; 58(7):296-301.

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