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Segundo a literatura, a disfunção vestibular infantil pode afetar consideravelmente a habilidade de comunicação e o desempenho escolar. OBJETIVO: Estudar a função vestibular em crianças com dificuldades escolares e suas queixas vestibulares. ESTUDO DE CASO: Estudo Clínico com coorte transversal. MATERIAL E MÉTODOS: Foram estudadas 50 crianças entre 7 e 12 anos, que freqüentavam escolas públicas de Piracicaba durante os anos de 2004 e 2005. Os procedimentos foram: anamnese; exame otorrinolaringológico; exame audiológico e avaliação vestibular. RESULTADOS: Das crianças avaliadas, 62,0% não relataram dificuldades escolares e 38,0% referiram ter dificuldades. A queixa geral mais comum foi de tontura (36,0%), e o sintoma mais comum no ambiente escolar foi de cefaléia (50,0%). Encontramos 74,2% de exame vestibular normal nas crianças sem dificuldades escolares e 31,6% de normalidade nas crianças com dificuldades. Encontramos alterações vestibulares de origem periférica irritativa tanto unilateral como bilateral, num total de 68,4% para as crianças com dificuldades escolares e um total de 25,8% para crianças sem dificuldades escolares. CONCLUSÃO: A queixa de atordoamento, o sintoma de náuseas e as dificuldades em ler e copiar apresentaram uma relação estatisticamente significante. Todas as alterações vestibulares encontradas foram de origem periférica irritativa. Os dados revelaram uma relação estatisticamente significante. According to the literature, child vestibular dysfunctions can considerably affect their ability of communication and school performance. AIM: to study the vestibular function in children with school difficulties and associated symptoms. CASE STUDY: Clinical study with transversal cohort. METHOD: Research subjects were 50 school children between 7 and 12 years old, from a public school of Piracicaba city, during the years 2004 and 2005. The procedure was based on: anamnesis; otorrinolaryngologic evaluation; audiologic evaluation and vestibular evaluation. RESULTS: All children assessed, 62.0% did not have school difficulties and 38.0% had school difficulties. Dizziness was the most common general complaint (36.0%). Migraine was the most common symptom regarding the school environment (50.0%). We found a high rate of normal vestibular condition (74.2%) in children without school difficulties and low normality rate in those with school difficulties (31.6%). All found vestibular alterations, both unilateral and bilateral, had been of peripheral irritative origin, accounting for 68.4% of cases for children with school difficulties and 25.8% for children without school difficulties. CONCLUSION: Dizziness, nausea, reading and copying difficulties presented a statistically significant relationship between the studied variables. All found vestibular alterations had been of peripheral irritative origin. Data showed a statistically significant relationship among variables

Avaliação otoneurológica em crianças com queixa de dificuldades escolares: pesquisa da função vestibular