PDF(Pubmed)
Abstract：
Background: Benign paroxysmal positional vertigo (BPPV) is characterized by brief, intense episodes of vertigo triggered by abrupt changes in head position. It is generally accepted as being most common in adults, while it is regarded as rare in children. It is necessary to compare the disease between pediatric and adult patients for a better understanding of the disease\'s characteristics and its natural history. This study aimed to identify the clinical characteristics of BPPV in children and compare them with those of adult BPPV patients. Methods: All children ≤ 18 years old who were diagnosed with BPPV were selected by searching the electronic database of our hospital. Clinical features were identified by medical record review. For adult patients, we collected data from patients > 19 years of age. Results: A total of 30 pediatric (13.65 ± 4.15 years old) and 264 adult patients (60.86 ± 13.74 years old) were included in the study. Among pediatric patients, the lateral canals were involved in 80% and the posterior canals in 16.67%. In adult patients, the lateral and posterior canals were involved similarly (p = 0.007). The degree of nystagmus in pediatric patients was 6.82 ± 12.09, while in adults it was 15.58 ± 20.90 (p < 0.001). The concurrent dizziness disorder was higher in the pediatric group and recurrence was higher in the adult group. In the regression analysis, it was found that adult patients had a stronger nystagmus with a value of 6.206 deg/sec, and the risk of concurrent dizziness disorder was found to be 5.413 times higher in the pediatric group (p < 0.05). Conclusions: BPPV occurs in pediatric patients with lower prevalence, but it cannot be overlooked. In the pediatric group, a relatively high proportion of patients demonstrated lateral canal involvement, weaker nystagmus, and additional dizziness disorder.
摘要：
背景：良性阵发性位置性眩晕（BPPV）的特点是短暂的，由头部位置的突然变化引发的眩晕的剧烈发作。它通常被认为是在成年人中最常见的，虽然它在儿童中被认为是罕见的。为了更好地了解疾病的特征及其自然史，有必要在儿童和成人患者之间进行比较。本研究旨在确定儿童BPPV的临床特征，并将其与成人BPPV患者进行比较。方法:检索我院电子数据库,选择所有诊断为BPPV的≤18岁儿童。通过病历审查确定临床特征。对于成年患者，我们收集了年龄>19岁患者的数据.结果:共纳入30例儿科患者(13.65±4.15岁)和264例成人患者(60.86±13.74岁)。在儿科患者中，侧管占80％，后管占16.67％。在成年患者中，侧管和后管受累相似(p=0.007)。儿科患者的眼震程度为6.82±12.09，而成年人为15.58±20.90（p<0.001）。小儿组并发头晕障碍较高，成年组复发率较高。在回归分析中，发现成年患者的眼球震颤更强，值为6.206deg/sec，小儿组并发头晕障碍的风险高5.413倍（p<0.05）。结论：BPPV发生在患病率较低的儿科患者中，但不容忽视。在儿科组，相对较高比例的患者表现出侧管受累，较弱的眼球震颤，和额外的头晕障碍。
