Jong Dae Lee1, Chang-Hee Kim2, Seok Min Hong3, Sung Huhn Kim4, Myung-Whan Suh5, Min-Beom Kim6, Dae Bo Shim7, Hosuk Chu8, No Hee Lee9, Minbum Kim10, Sung Kwang Hong11, Jae-Hyun Seo12. 1. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Soonchunhyang University, Bucheon, South Korea. 2. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kunkook University, Seoul, South Korea. 3. Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Hwaseong, South Korea. Electronic address: thecell20@gmail.com. 4. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Yonsei University, Seoul, South Korea. 5. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Seoul University, Seoul, South Korea. 6. Department of Otorhinolaryngology-Head and Neck Surgery School of Medicine, Sungkyunkwan University, Seoul, South Korea. 7. Department of Otorhinolaryngology-Head and Neck Surgery, Myongji Hospital, Goyang, South Korea. 8. Department of Otorhinolaryngology-Head and Neck Surgery, Hana ENT Hospital, South Korea. 9. Department of Otorhinolaryngology-Head and Neck Surgery, Hana ENT Clinic, Seoul, South Korea. 10. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Catholic Kwandong University, Incheon, South Korea. 11. Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Hwaseong, South Korea. 12. Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Catholic University, Bucheon, South Korea.
Abstract
OBJECTIVES: Children differ from adults in the expression of dizziness symptoms and the causes of dizziness. In several studies, benign paroxysmal vertigo of childhood (BPVC) and vestibular migraine (VM) were seen exclusively in children with vertigo, but the age threshold used to define 'children' varies, and there are few reported studies about adolescents with dizziness. In this study, we investigated the prevalence of vestibular and balance disorders according to age category in a multi-center study (otolaryngology departments of 11 hospitals) of children and adolescents. METHODS: Children and adolescents aged under 18 who visited the otolaryngology departments of 11 hospitals for dizziness were included. We classified the patients into three categories: preschool (up to and including 6-year-olds), school age (7- to 12-year-olds), and adolescents (13- to 18-year-olds). These patients were reviewed retrospectively based on their clinical charts. RESULTS: In the preschool age group, BPVC was most common, followed by VM. In the school-age group, BPVC and VMs were most common, followed by psychogenic vertigo and benign paroxysmal positional vertigo (BPPV). In adolescents, VM was the most common, and Ménière's disease, cardiogenic vertigo, and BPVC, which are seen primarily in adults, were also seen in some adolescents. CONCLUSION: In children and adolescents with dizziness, VM and BPVC were the most common diseases, and prevalence of disease by age showed differing distributions. These findings will help in diagnosing and managing children and adolescents with vertigo.
OBJECTIVES:Children differ from adults in the expression of dizziness symptoms and the causes of dizziness. In several studies, benign paroxysmal vertigo of childhood (BPVC) and vestibular migraine (VM) were seen exclusively in children with vertigo, but the age threshold used to define 'children' varies, and there are few reported studies about adolescents with dizziness. In this study, we investigated the prevalence of vestibular and balance disorders according to age category in a multi-center study (otolaryngology departments of 11 hospitals) of children and adolescents. METHODS:Children and adolescents aged under 18 who visited the otolaryngology departments of 11 hospitals for dizziness were included. We classified the patients into three categories: preschool (up to and including 6-year-olds), school age (7- to 12-year-olds), and adolescents (13- to 18-year-olds). These patients were reviewed retrospectively based on their clinical charts. RESULTS: In the preschool age group, BPVC was most common, followed by VM. In the school-age group, BPVC and VMs were most common, followed by psychogenic vertigo and benign paroxysmal positional vertigo (BPPV). In adolescents, VM was the most common, and Ménière's disease, cardiogenic vertigo, and BPVC, which are seen primarily in adults, were also seen in some adolescents. CONCLUSION: In children and adolescents with dizziness, VM and BPVC were the most common diseases, and prevalence of disease by age showed differing distributions. These findings will help in diagnosing and managing children and adolescents with vertigo.