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Electronystagmography finding in children with peripheral and central vestibular disorders.
Int J Pediatr Otorhinolaryngol. 2006 Jan; 70(1):13-8.IJ

Abstract

OBJECTIVE

Dizziness and imbalance are uncommon in children, but often alarming for their families: a detailed interview and otoneurological examination are important for reaching a specific diagnosis and treatment. Children with vestibular disorders are thought to be difficult to examine: vestibular tests (caloric test, roto-acceleratory test, electronystagmography, opto-kinetic nystagmus, cranio-corpography and posturography) are used less frequently for children than in adult patients. The aim of the study was to determine whether the results of electronystagmography testing improve an emergency physician's diagnosis of dizziness in children.

METHODS

Patients were selected on the basis of the following inclusion criteria: aged between 2 and 12 years and affected with vertiginous symptoms. All patients underwent the following instrumental examinations: blood tests, audiological screening, electronystagmography of spontaneous nystagmus or provoked by vestibular and optical stimulation and electroencephalogram.

RESULTS

The results underlines an high incidence of central vertigo (83%): 52% of the children presented a prevailing unidirectional nystagmus at labyrinth stimulation and 48% of the children an asymmetry in the response of nystagmus at optical kinetic stimulation with quality alteration of shocks.

CONCLUSIONS

Electronystagmography can register and evaluate the qualitative and quantitative characteristics of the nystagmic response and allow to distinguish between central or peripheric vertigo: different degrees and various combinations of the abnormal responses shown in optokinetic central test were the most characteristic of electronystagmography in patients with vestibular central vertigo.

Authors+Show Affiliations

ENT Department, University of Genoa, Genoa, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15964639

Citation

Salami, Angelo, et al. "Electronystagmography Finding in Children With Peripheral and Central Vestibular Disorders." International Journal of Pediatric Otorhinolaryngology, vol. 70, no. 1, 2006, pp. 13-8.
Salami A, Dellepiane M, Mora R, et al. Electronystagmography finding in children with peripheral and central vestibular disorders. Int J Pediatr Otorhinolaryngol. 2006;70(1):13-8.
Salami, A., Dellepiane, M., Mora, R., Taborelli, G., & Jankowska, B. (2006). Electronystagmography finding in children with peripheral and central vestibular disorders. International Journal of Pediatric Otorhinolaryngology, 70(1), 13-8.
Salami A, et al. Electronystagmography Finding in Children With Peripheral and Central Vestibular Disorders. Int J Pediatr Otorhinolaryngol. 2006;70(1):13-8. PubMed PMID: 15964639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electronystagmography finding in children with peripheral and central vestibular disorders. AU - Salami,Angelo, AU - Dellepiane,Massimo, AU - Mora,Renzo, AU - Taborelli,Giuseppe, AU - Jankowska,Barbara, Y1 - 2005/06/17/ PY - 2005/02/24/received PY - 2005/05/03/accepted PY - 2005/6/21/pubmed PY - 2007/3/23/medline PY - 2005/6/21/entrez SP - 13 EP - 8 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 70 IS - 1 N2 - OBJECTIVE: Dizziness and imbalance are uncommon in children, but often alarming for their families: a detailed interview and otoneurological examination are important for reaching a specific diagnosis and treatment. Children with vestibular disorders are thought to be difficult to examine: vestibular tests (caloric test, roto-acceleratory test, electronystagmography, opto-kinetic nystagmus, cranio-corpography and posturography) are used less frequently for children than in adult patients. The aim of the study was to determine whether the results of electronystagmography testing improve an emergency physician's diagnosis of dizziness in children. METHODS: Patients were selected on the basis of the following inclusion criteria: aged between 2 and 12 years and affected with vertiginous symptoms. All patients underwent the following instrumental examinations: blood tests, audiological screening, electronystagmography of spontaneous nystagmus or provoked by vestibular and optical stimulation and electroencephalogram. RESULTS: The results underlines an high incidence of central vertigo (83%): 52% of the children presented a prevailing unidirectional nystagmus at labyrinth stimulation and 48% of the children an asymmetry in the response of nystagmus at optical kinetic stimulation with quality alteration of shocks. CONCLUSIONS: Electronystagmography can register and evaluate the qualitative and quantitative characteristics of the nystagmic response and allow to distinguish between central or peripheric vertigo: different degrees and various combinations of the abnormal responses shown in optokinetic central test were the most characteristic of electronystagmography in patients with vestibular central vertigo. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/15964639/Electronystagmography_finding_in_children_with_peripheral_and_central_vestibular_disorders_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(05)00236-3 DB - PRIME DP - Unbound Medicine ER -