Abstract：
BACKGROUND: To improve diagnostic precision in pediatric vertigo, particularly in Vestibular Migraine of Childhood (VMC), probable VMC (pVMC), Recurrent Vertigo of Childhood (RVC), and unspecified categories, by delineating clinical characteristics and prevalence to refine diagnostics and treatments.
METHODS: Retrospective analysis of 102 pediatric patients (five to 18 years; 46 females, 56 males) at the Dizziness Center of the Otolaryngology Department in a tertiary-level hospital from January 2019 to December 2023. Patients were classified into VMC, pVMC, RVC, and indeterminate groups. Evaluations included audiometry and vestibular tests (video head impulse test [vHIT] or caloric testing), conducted in the audiology unit and vestibular testing laboratory. Data were analyzed using IBM SPSS 20.0.
RESULTS: Diagnoses were 8.8% VMC, 31.4% pVMC, 51.0% RVC, and 8.8% indeterminate. Nausea and vomiting were common in VMC and pVMC; cochlear symptoms like tinnitus and hearing loss predominated in VMC. Although vestibular testing showed no significant group differences, VMC had more vHIT abnormalities and RVC had more caloric test anomalies.
CONCLUSIONS: This study highlights the need for comprehensive diagnostics in pediatric vestibular disorders, revealing unique and overlapping traits across VMC, pVMC, and RVC. Insights call for further research to refine diagnostic criteria and improve treatment methods.
METHODS: Retrospective analysis of 102 pediatric patients (five to 18 years; 46 females, 56 males) at the Dizziness Center of the Otolaryngology Department in a tertiary-level hospital from January 2019 to December 2023. Patients were classified into VMC, pVMC, RVC, and indeterminate groups. Evaluations included audiometry and vestibular tests (video head impulse test [vHIT] or caloric testing), conducted in the audiology unit and vestibular testing laboratory. Data were analyzed using IBM SPSS 20.0.
RESULTS: Diagnoses were 8.8% VMC, 31.4% pVMC, 51.0% RVC, and 8.8% indeterminate. Nausea and vomiting were common in VMC and pVMC; cochlear symptoms like tinnitus and hearing loss predominated in VMC. Although vestibular testing showed no significant group differences, VMC had more vHIT abnormalities and RVC had more caloric test anomalies.
CONCLUSIONS: This study highlights the need for comprehensive diagnostics in pediatric vestibular disorders, revealing unique and overlapping traits across VMC, pVMC, and RVC. Insights call for further research to refine diagnostic criteria and improve treatment methods.
摘要：
背景：为了提高小儿眩晕的诊断精度，特别是儿童前庭性偏头痛（VMC），可能的VMC(pVMC)，儿童复发性眩晕（RVC）和未指定的类别，通过描述临床特征和患病率来完善诊断和治疗。
方法：回顾性分析102名儿科患者（5至18岁；46名女性，56名男性），于2019年1月至2023年12月在三级医院耳鼻喉科头晕中心。患者被分类为VMC，pVMC,RVC,和不确定的群体。评估包括测听和前庭测试（视频头部脉冲测试[vHIT]或热量测试），在听力学单元和前庭测试实验室进行。使用IBMSPSS20.0对数据进行分析。
结果：诊断为8.8%的VMC，31.4%pVMC，51.0%RVC，8.8%不确定。恶心和呕吐在VMC和pVMC中很常见；VMC中以耳鸣和听力损失等耳蜗症状为主。虽然前庭测试显示没有显著的组间差异，VMC有更多的vHIT异常，RVC有更多的热量测试异常。
结论：本研究强调了儿科前庭疾病综合诊断的必要性，揭示跨VMC的独特和重叠特征，pVMC,和RVC。洞察力要求进一步研究以完善诊断标准并改进治疗方法。
方法：回顾性分析102名儿科患者（5至18岁；46名女性，56名男性），于2019年1月至2023年12月在三级医院耳鼻喉科头晕中心。患者被分类为VMC，pVMC,RVC,和不确定的群体。评估包括测听和前庭测试（视频头部脉冲测试[vHIT]或热量测试），在听力学单元和前庭测试实验室进行。使用IBMSPSS20.0对数据进行分析。
结果：诊断为8.8%的VMC，31.4%pVMC，51.0%RVC，8.8%不确定。恶心和呕吐在VMC和pVMC中很常见；VMC中以耳鸣和听力损失等耳蜗症状为主。虽然前庭测试显示没有显著的组间差异，VMC有更多的vHIT异常，RVC有更多的热量测试异常。
结论：本研究强调了儿科前庭疾病综合诊断的必要性，揭示跨VMC的独特和重叠特征，pVMC,和RVC。洞察力要求进一步研究以完善诊断标准并改进治疗方法。
