소아 어지럼의 원인과 임상 양상

이형민; 박지훈; 이범상; 이건희; 박수경; 장지원

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자료유형: 학술저널

저자정보: 이형민 박지훈 이범상 이건희 박수경 장지원

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제9호

발행연도: 2018.1

수록면: 459 - 464 (6page)

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연구결과

초록· 키워드

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Background and ObjectivesZZDizziness is not uncommon in children. The etiology of dizzinessvaries according to different studies due to different methods of examination or characteristicsof the dizziness center. To assess meaningful causes of dizziness in children, a multidisciplinaryapproach would be needed. The purpose of this study was to analyze the mainpathologies associated with vertigo and dizziness in children, paying particular attention torecent diagnostic advances with a multidisciplinary approach. Subjects and MethodZZA total of 73 children, aged between 4-18 years, who visited thePediatric Dizziness Clinic of the University Hospital from January 2016 to June 2016 were includedin this study. Medical records were reviewed retrospectively. All of the subjects wereexamined by history, questionnaires, physical examinations, electrocardiogram, hematologictests, brain MRI scan, audiogram and vestibular function tests. Patients who had orthostaticsymptoms additionally underwent a tilt table test, and in selective cases, a caloric and vestibularevoked myogenic potential tests as well. ResultsZZVestibular migraine (VM) and benign paroxysmal vertigo of childhood (BPVC)were found in 35.6% and 27.4% of the children with dizziness, respectively. The incidence oforthostatic hypotension and postural orthostatic tachycardia syndrome were 12.3% each, bothof which are higher than other previous reports. Other causes were Meniere’s disease, benignparoxysmal positional vertigo, vestibular neuritis and so on. ConclusionZZVM and BPVC were the most common causes of pediatric dizziness. Also, theincidence of orthostatic dizziness was rather high in pediatric population. The evaluation of dizzinessin children should include a thorough check of history (questionnaire), neurotologicalexamination, vestibular function tests and a tilt table test.

참고문헌 (23)

참고문헌 신청

Riina N / 2005 / Vertigo and imbalance in children: a retrospective study in a Helsinki University otorhinolaryngology clinic / Arch Otolaryngol Head Neck Surg 131(11):996~1000

Bower CM / 1995 / The spectrum of vertigo in children / Arch Otolaryngol Head Neck Surg 121(8):911~915

Eviatar L / 1986 / Post-traumatic vertigo in children: a diagnostic approach / Pediatr Neurol 2(2):61~66

Humphriss RL / 2011 / Dizziness in 10 year old children: an epidemiological study / Int J Pediatr Otorhinolaryngol 75(3):395~400

Niemensivu R / 2006 / Vertigo and balance problems in children--an epidemiologic study in Finland / Int J Pediatr Otorhinolaryngol 70(2):259~265

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