Prevalence of vestibular and balance disorders in children and adolescents according to age: A multi-center study

Lee, Jong Dae; Kim, Chang Hee; Hong, Seok Min; Kim, Sung Huhn; Suh, Myung‐Whan; Kim, Min Beom; Shim, Dae Bo; Chu, Hosuk; Lee, No Hee; Kim, Minbum; Hong, Sung Kwang; Seo, Jae Hyun

doi:10.1016/j.ijporl.2017.01.012

Cited by 71 publications

(67 citation statements)

References 18 publications

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“…In the literature, there is a great confusion in the criteria used for diagnosing vertigo in a child as BPVC which can include any brief and recurrent sensation of positional or nonpositional vertigo, associated or not associated with headache. 30 These criteria often stray far from the strict definition of Basser. 24 For diagnosis, BPVC was characterized by short, brief episodes, usually lasting only a few seconds (generally < 10 minutes), marked by a sudden imbalance while the child was playing, forcing him to stop, or even sit down.…”

Section: Benign Paroxysmal Vertigo In Childhood or Nonpositional Benimentioning

confidence: 99%

Epidemiology of Vestibular Impairments in a Pediatric Population

2018

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The purpose of this study was to report the prevalence of vestibular impairment (VI) in children ( = 2,528) referred for complete vestibular testing because of balance disorders (BD) or hearing loss (H). A VI was shown in 51.5% of the children tested (1,304/2,528). For BD (e.g., vertigo, dizziness, instability, delay in posturomotor development), VI was found in 36.5% ( = 379/1,037). The most frequent causes of BD with VI included inner ear malformation (13.5%), delay in posturomotor development (13.4%), hearing loss revealed with vertigo (3.9%), trauma (3.9%), vestibular neuritis (3.3%), meningitis (2.5%), Meniere-like syndrome (1.1%), BPPV posttrauma (1%), labyrinthitis (0.4%), and unknown etiology (19.6%). Normal responses to the complete battery of tests ( = 658, 63.5%) excluded a vestibular origin to BD, leading to other diagnoses: principally migraine (15.6%), ophthalmological disorders (15.1%), neurological disorders (including delay in posturomotor development; 14.4%), orthostatic hypotension, or somatoform dizziness (<1%). Of the children referred for hearing loss ( = 1,491), 68.5% were tested without cochlear implantation (CI; = 1,022). In this group, 54.5% presented with VI ( = 557). This was mostly found in cytomegalovirus infection, inner ear malformation, and genetic syndromes. Profound hearing loss candidates for cochlear implants had complete bilateral vestibular loss in 20% and delay in posturomotor development, and 80% had partial or normal vestibular function and normal posturomotor development. VI was found after CI in 50% on the side of the implant (partial in 41% and complete in 9%). VI is present in 36.5% of children referred to our center for BDs and 54.5% for hearing loss. Vestibular testing permits ruling out peripheral VI and hence seeking other causes for BDs such as migraine and ophthalmological disorders and also helps lower the risk of inducing bilateral complete vestibular loss in CI protocols.

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Section: Benign Paroxysmal Vertigo In Childhood or Nonpositional Benimentioning

confidence: 99%

Epidemiology of Vestibular Impairments in a Pediatric Population

2018

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“…The most common otoneurological dysfunctions in children and adolescents with dizziness are vestibular migraine and benign paroxysmal positional vertigo (BPPV). However, these symptoms are often masked or undervalued by possible progressive selfcompensation 3,28,29 . In addition, a study by Li et al (2016) 29 showed that the number of diagnoses that may lead to vestibular dysfunction in childhood has increased, including cytomegalovirus, late prematurity, and concussion, and many of these cases do not seek specialized evaluation.…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Thus, dizziness is understood as a dysfunction of body equilibrium caused by the divergence in the integration of sensory information that regulates postural control 3 . The prevalence of this complaint in children aged 0 to 18 years in Brazil is approximately 0.4% to 5.3% 3,4 , and thus it can be assumed that up to 3.1 million may have the symptom in question. It is also worth noting that the prevalence may actually be higher since the population in general has difficulty describing vestibular complaints because these are subjective alterations 3 .…”

Section: Introductionmentioning

confidence: 99%

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Relationship between dizziness and learning difficulties in schoolchildren: an integrative review

et al. 2019

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Purpose: this study aims to verify the level of scientific evidence on the relationship between dizziness and academic achievement in childhood. Methods: the study was performed using the following search terms: dizziness, vertigo, child, learning, spelling, learning skills, academic skills, reading, and their correspondents in Portuguese in the following databases: PubMed, Scielo, LILACS and PsycINFO. Observational studies that examined the relationship between dizziness and academic achievement in childhood, published between 2007 and 2017, were included. Articles that did not allow access to the full text, and studies based on samples with motor, hearing, and cognitive disorders were excluded. Results: we initially found 315 articles and three met the established inclusion and exclusion criteria. These were scored according to the Newcastle-Ottawa Modified Scale with scores between 2 and 3 and as IIb according to the American Speech-Language Hearing Association levels of evidence and quality indicators. Conclusion: the results of this integrative review showed a low level of scientific evidence on the relationship between dizziness and academic achievement in childhood. It is important to emphasize the importance of improving study design to better understand their relationship, to allow provision of the best preventive, assessment, and intervention methods.

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“…Across the different studies conducted in the adult population, the prevalence of vestibular disorders is relatively well-documented using either vestibular symptoms such as vertigo, balance tests or the prevalence of specific vestibular disorders (5,6). In fact, vestibular disorders would affect almost 6.5-7.4% of individuals in their adulthood (7,8), with a larger prevalence in older adults (7). The prevalence of vestibular disorders in childhood, however, is not as well documented (9).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Vestibular Dysfunction in Children With Neurological Disabilities: A Systematic Review

et al. 2019

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Background: In children with neurological or neurodevelopmental conditions, vestibular disorders may co-exist with the primary condition and further contribute to disability and restriction in functional independence and participation. Awareness of their existence may favor an early diagnosis and better treatment outcomes. Objectives: To determine the prevalence of vestibular dysfunction in children and adolescents (3-21 years old) diagnosed with either cerebral palsy (CP), traumatic brain injury (TBI), sensorineural hearing loss (SNHL), or cochlear implantations (CI). Methods: Four researchers systematically reviewed the literature from three databases (EMBASE, MEDLINE, CINAHL) until June 2018. Results: Twenty-four studies were analyzed in this systematic review. A single, high-quality study reports a prevalence of 48.4% of spastic CP children having a saccular dysfunction. Three fair-quality studies report a prevalence of 14.6-81%, 21 days post-TBI. Twelve poor-to-high quality studies demonstrate a prevalence of 18.7-96.1% in children with SNHL. A prevalence range of 3-84% in children with CI is reported by nine fair-to-high quality studies. Conclusion: Clinicians should be aware of the prevalence of vestibular dysfunction in these populations and implement appropriate assessments to improve treatment outcomes.

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Prevalence of vestibular and balance disorders in children and adolescents according to age: A multi-center study

Cited by 71 publications

References 18 publications

Epidemiology of Vestibular Impairments in a Pediatric Population

Epidemiology of Vestibular Impairments in a Pediatric Population

Relationship between dizziness and learning difficulties in schoolchildren: an integrative review

Prevalence of Vestibular Dysfunction in Children With Neurological Disabilities: A Systematic Review

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