Migraine Associated Vertigo in Children and Teenagers Epidemiology and Treatment .

Original Article

Abstract

Objective: describe the symptoms and outcome of vertigo in a pediatric population. Patients. The study included all children and teenagers who presented with dizziness in the otoneurology northwest general hospital Peshawar department from 2014 to 2021.

Study design:A retrospective observational study

Place and duration of study: from 02 jan 2014 to 02 jan  2021department of ENT kth hospital peshawar 

Material And Methods: the  study was carried out between 02 jan 2014 to 02 jan  2021 in the ENT KTH hospital in Peshawar. Children under the age of 13 who had normal otoscopy, a least one dizziness attack, and no prior neurological evaluation were included in the research. Children who have severe otitis media or otitis media with fluid experience dizziness. The current research concentrated on kids and teenagers who experienced dizziness despite having acceptable orthoscopic findings. Using SPSS 24, the sample number was determined.

Results: Seventy-four young participants, with ages averaging 10.5 years, partook in the investigation. Table 1 illustrates the profiles and clinical signs of these individuals. Remarkably, four patients showed location nystagmus, five had post-head-shaking nystagmus, and ten tested positive on the head impulse test. Spontaneous nystagmus occurred in 30% of the sample. Fifty-four reported using English as their primary language. Twenty-three children completed the research, with an 18% dropout rate. Notably, as per Jongkees' equation, 68% of ENG patients manifested aberrant caloric examination results, classified as canal paresis exceeding 26% or orientation preponderance over 30%. Additionally, aberrant spatial nystagmus appeared in six cases. The research uncovered an assorted range of causes for vertigo in youngsters, with comparable symptomatic demonstrations. The outcomes differed depending on the etiology, underscoring the significance of tailored analysis, treatment, and follow-up care. Collaborative efforts with medical professionals are absolutely crucial for accurate diagnosis and effective remedial approaches, minimizing the necessity for unnecessary laboratory testing.

Conclusion: Numerous causes of vertigo in children may manifest similar symptoms. Hospitals And Clinical Results Vary Based On Etiology. In each case, the diagnosis should direct treatment and follow-up. Close coordination with medical professionals is frequently required to get the right diagnosis and treatment without undergoing unnecessary lab testing.

Keywords: Vertigo, Children, Teenagers, Epidemiology, Treatment