Abstract：
Benign paroxysmal positional vertigo (BPPV) is a debilitating condition that has been significantly described in adults. Recent data points out that BPPV occurs in children as well. Canalith repositioning manoeuvre (CRM) has shown promising results amongst adult patients with BPPV.
We reviewed the literature to determine the outcome of CRM in children and adolescents with BPPV.
A literature search was conducted over 1 month (March 2022). The primary outcome was defined as the resolution of positional nystagmus and symptoms, and secondary outcomes were determined by the presence of recurrence and the number of attempts of CRM.
Ten articles were selected based on our objective and selection criteria. A total of 242 patients were included, with a mean of 10.9 years. BPPV was diagnosed based on history and positional nystagmus in all patients (100%). CRM was performed in 97.9% of patients, whereby 80.5% recovered following a single attempt of CRM. Recurrence of symptoms was identified in 10% of patients with no reported major complications.
CRM has demonstrated promising results in children and adolescents. The quality of evidence is limited until a better-quality study involving randomised controlled studies with a larger sample size is completed.
We reviewed the literature to determine the outcome of CRM in children and adolescents with BPPV.
A literature search was conducted over 1 month (March 2022). The primary outcome was defined as the resolution of positional nystagmus and symptoms, and secondary outcomes were determined by the presence of recurrence and the number of attempts of CRM.
Ten articles were selected based on our objective and selection criteria. A total of 242 patients were included, with a mean of 10.9 years. BPPV was diagnosed based on history and positional nystagmus in all patients (100%). CRM was performed in 97.9% of patients, whereby 80.5% recovered following a single attempt of CRM. Recurrence of symptoms was identified in 10% of patients with no reported major complications.
CRM has demonstrated promising results in children and adolescents. The quality of evidence is limited until a better-quality study involving randomised controlled studies with a larger sample size is completed.
摘要：
背景：良性阵发性位置性眩晕（BPPV）是一种使人衰弱的疾病，已在成人中得到了明显的描述。最近的数据表明，BPPV也发生在儿童身上。Canalith重新定位操作（CRM）在成人BPPV患者中显示出可喜的结果。
目的：我们回顾了文献，以确定CRM在儿童和青少年BPPV患者中的结局。
方法：进行了为期1个月（2022年3月）的文献检索。主要结果定义为位置性眼球震颤和症状的消退，次要结局由复发的存在和CRM的尝试次数决定.
结果：根据我们的目标和选择标准选择了10篇文章。共纳入242名患者，平均10.9年。在所有患者中，根据病史和位置性眼震诊断为BPPV（100％）。在97.9％的患者中进行了CRM，80.5%在一次CRM尝试后恢复。10％的患者没有报告重大并发症，症状复发。
结论：CRM在儿童和青少年中显示出可喜的结果。在完成涉及具有更大样本量的随机对照研究的质量更好的研究之前，证据的质量是有限的。
目的：我们回顾了文献，以确定CRM在儿童和青少年BPPV患者中的结局。
方法：进行了为期1个月（2022年3月）的文献检索。主要结果定义为位置性眼球震颤和症状的消退，次要结局由复发的存在和CRM的尝试次数决定.
结果：根据我们的目标和选择标准选择了10篇文章。共纳入242名患者，平均10.9年。在所有患者中，根据病史和位置性眼震诊断为BPPV（100％）。在97.9％的患者中进行了CRM，80.5%在一次CRM尝试后恢复。10％的患者没有报告重大并发症，症状复发。
结论：CRM在儿童和青少年中显示出可喜的结果。在完成涉及具有更大样本量的随机对照研究的质量更好的研究之前，证据的质量是有限的。
