China
Africa
Explore chapters and articles related to this topic
Vestibular Migraine
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Vertigo is mentioned three times in relation to migraine in this classification system. Firstly, it relates to benign paroxysmal vertigo of childhood, a condition of vertigo without headache that occurs in younger children and is thought to be a migraine precursor. Secondly, vertigo can be part of the aura of basilar-type migraine. The key feature of vertigo in basilar-type migraine is that the vertigo is thought to form part of a posterior circulation aura. To identify this with confidence it should conform to the timing definitions for an aura as laid out in Box 67.3. In addition, there should be other identifiable posterior circulation symptoms such as dysarthria, tinnitus, reduced hearing, diplopia, visual symptoms simultaneously in both temporal and nasal fields of both eyes, ataxia, decreased level of consciousness or simultaneously bilateral paraesthesias.
Vertigo in childhood: an overview
Published in Hearing, Balance and Communication, 2021
Cristiano Balzanelli, Daniele Spataro, Luca Oscar Redaelli de Zinis
The first description was by Basser in 1964, and it is the most frequent form of vertigo under the age of 6 and in 2/3 of cases, there is a personal or family history of migraine according to IHS criteria. The aetiology is unknown and the disease resolves spontaneously in most cases within 7–10years, but in 70% of cases, migraine with IHS features occurs from adolescence onwards [8,11]. Usually, vertigo occurs suddenly and without aura or hearing loss. It is often associated with autonomic disorders, hyperacusis, and photophobia. The child freezes instantly, sometimes he/she falls seated, he/she could remain stationary for a few seconds or few minutes, and then he/she quickly resumes his/her activities, without consequences or after-effects, as if nothing had happened. Like cyclic vomiting and torticollis, it can be considered an early symptomatic manifestation of migraine in children. It generally does not require specific treatment, but an accurate differential diagnosis is required [21]. According to the recent ‘Consensus Document of the Classification Committee of Vestibular Disorders of the Barany Society and the International Headache Society’ [16], the Benign Paroxysmal Vertigo of Childhood has been reclassified introducing a new term and classification of recurrent vertigo in children, named ‘Recurrent Vertigo of Childhood – RVC’.
Episodic ataxia type 2 characterised by recurrent dizziness/vertigo: a report of four cases
Published in International Journal of Neuroscience, 2019
Xia Ling, Dan-hua Zhao, Jing Zhao, Bo Shen, Xu Yang
In this study, all four patients experienced the disease during their childhood; mainly presented with a chief complaint of episodic dizziness/vertigo, accompanied by weakness in both lower extremities and visual rotation. Symptoms lessened after a few hours. Mental stress and fever were predisposing factors. These characteristics were consistent with the clinical manifestations of EA2. However, the four patients complained of episodic dizziness/vertigo and lacked obvious ataxia symptoms. In particular, patient 4 was misdiagnosed as having ‘benign paroxysmal vertigo in childhood’, and had not been effectively treated. Patient 4 suffered from severe anxiety and depression, which was one of the reasons for their long-term misdiagnosis. Previous studies also found [2,8] that anxiety and depression were observed in patients with EA2[AQ]. Clinically, when anxiety and depressive symptoms coexist with EA2, the diagnosis will be more difficult [1]. Jen et al. [9] summarised the genotypes and clinical phenotypes of 18 EA2 families and nine sporadic cases, and found that two patients in one family did not have obvious ataxia symptoms, but that two other patients in this family had progressive ataxia symptoms. Therefore, the clinical manifestations of EA2 are heterogeneous. Genetic diagnosis is often necessary because EA2 may not be accompanied by characteristic episodic ataxia, but may present only recurrent episodic dizziness/vertigo. These findings indicate that for adolescents with recurrent episodic dizziness/vertigo, the possibility of EA2 should be considered.
Do we need to reconsider the classification of vestibular migraine?
Published in Expert Review of Neurotherapeutics, 2021
Patricia Perez-Carpena, Jose A. Lopez-Escamez
Although it seems migraine begins earlier in life than VM, both conditions can occur at any age [35]. ‘Migraine-related conditions’ are probably the second most common condition after seizures encountered in pediatric neurology, requiring frequent emergency department visits, and the most common cause of vertigo in children. Migraine-related conditions include migraine variants and other unrecognized syndromes. According to this, future classification for migraine-related conditions should minimize the dissociation of the classified conditions from those clinically encountered [36]. In children and adolescents with episodes of vertigo, VM should be considered among the most probable etiologies, followed by benign paroxysmal vertigo of childhood [37].