The Analysis of the characteristics, standard diagnosis and treatment
and prognosis of children with vestibular dysfunction
Abstract
Objective By investigating into the characteristics of vestibular
dysfunction in children, this study attempts to provide some guidance
and reference for the diagnosis and treatment of the disease. Methods
Retrospective analysis was performed on 80 children, aged between 4 and
17, with peripheral vestibular dysfunction. Results The group aged from
6 to 12 years significantly outnumbered the other two age
groups(P<0.001). We also found the positive rate of Mann test
was the highest, while the positive rate of cVEMP (cervical vestibular
evoked myogenic potential) was the lowest (P=0.007<0.05). The
positive rate of caloric testing and Romberg/Mann test was significantly
superior to others (P=0.024 <0.05). Among the etiologic
factors of vestibular dysfunction in children, Benign paroxysmal vertigo
of Childhood was the most common, accounted for 72.50%, following by
Vestibular migraine (5.00%) and Vestibular neuritis (10.00%). It
should also be noted that 27.50% were associated with other diseases
such as sinusitis (18.75%). Conclusion This paper found that there was
no obvious difference in age, gender and onset ear side of those
children with vestibular dysfunction. However, children in primary
school were more likely to suffer from vestibular dysfunction. In most
cases, the cause of vestibular dysfunction in children is unclear. Thus
special attention should by drawn on differential diagnosis. At the same
time, detailed medical history of the children should be acknowledged
and appropriate vestibular function examination should be selected, in
order to give timely, effective and accurate treatment plan for the
children.