Post-traumatic vertigo in children: a diagnostic approach.

Abstract:

:The relatively high incidence of persistent post-traumatic headache and vertigo in children and adolescents presents a diagnostic and therapeutic challenge. It is often difficult to differentiate between functional complaints generated by psychological trauma or compensation-seeking and symptoms reflecting an organic etiology. The clinical and laboratory findings of 22 patients with post-traumatic headaches and vertigo were delineated into five major diagnostic categories: labyrinthine concussion, whiplash syndrome, basilar artery migraine, vertiginous seizures, and a non-specific post-traumatic dizziness. Patients with post-traumatic hearing loss were excluded from this study because they represent a group with different diagnostic problems and more recognizable organic pathology. Each patient had a complete neurologic evaluation including specific clinical vestibular tests (i.e., stepping test, reinforced Romberg, past-pointing evaluation, and positional tests using the Nylen-Hallpike maneuver. Laboratory studies included skull x-ray, computed tomography, electroencephalography, electronystagmography, and audiologic assessment. Symptoms, signs, and tests were evaluated in each category of post-traumatic vertigo to help establish the diagnosis and initiate treatment.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Eviatar L,Bergtraum M,Randel RM

doi

10.1016/0887-8994(86)90058-5

subject

Has Abstract

pub_date

1986-03-01 00:00:00

pages

61-6

issue

2

eissn

0887-8994

issn

1873-5150

pii

0887-8994(86)90058-5

journal_volume

2

pub_type

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