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Vestibular paroxysmia in children: a treatable cause of short vertigo attacks
Author(s) -
Lehnen Nadine,
Langhagen Thyra,
Heinen Florian,
Huppert Doreen,
Brandt Thomas,
Jahn Klaus
Publication year - 2015
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12563
Subject(s) - vertigo , medicine , nystagmus , vestibular system , magnetic resonance imaging , presentation (obstetrics) , audiology , carbamazepine , differential diagnosis , pediatrics , surgery , radiology , epilepsy , psychiatry , pathology
Vestibular paroxysmia due to neurovascular compression is a syndrome consisting of frequent short episodes of vertigo in adults that can be easily treated. Here we describe the initial presentation and follow‐up of three children (one female, 12y; two males, 8y and 9y) who experienced typical, brief, vertiginous attacks several times a day. Nystagmus was observed during the episodes. Cranial magnetic resonance imaging revealed arterial compression of the eighth cranial nerve. The attacks ceased after administration of low‐dose carbamazepine (2–4mg/kg daily). Vestibular paroxysmia must be considered in the differential diagnosis of children with brief vertiginous episodes.