Vertigo pp 375-381 | Cite as

Vertigo in childhood

  • Thomas Brandt


Vertigo occurs less frequently in childhood than in adulthood. If present, however, it can be caused by a variety of peripheral and central vestibular syndromes that pose a diagnostic challenge (Beddoe 1977; Eviatar and Eviatar 1977; Blayney and Colman 1984; Brandt and Büchele 1984; Balkany and Finkel 1986; Britton and Block 1988; Eviatar 1994; Bower and Cotton 1995). Inasmuch as most vertigo syndromes in childhood also manifest in adults, they are described in more detail elsewhere in the relevant chapter. While considerable effort is expended to prevent hearing loss in children, concurrent or subsequent vestibular disorders are often ignored because vertiginous crises in childhood are usually attributed to problems of behaviour or lack of coordination (Tusa et al. 1994). As children often lack the communication skills to give an accurate account of their spells, the distinction between vertigo, dizziness and imbalance becomes less obvious (Bower and Cotton 1995).


Motion Sickness Vestibular Neuritis Endolymphatic Hydrops Episodic Vertigo Basilar Migraine 
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  1. Abu-Arafeh I, Russel G (1995) Paroxysmal vertigo as a migraine equivalent in children: a population-based study. Cephalalgia 15: 22–25PubMedCrossRefGoogle Scholar
  2. Arnvig J (1955) Vestibular function in deafness and severe hardness of hearing. Acta Otolaryngol (Stockh) 4: 283–288CrossRefGoogle Scholar
  3. Aust G (1991) Gleichgewichtsstörungen and ihre Diagnostik im Kindesalter. Laryngo-Rhino-Otol 70: 532–537CrossRefGoogle Scholar
  4. Aust G (1994) Early and late damage to the auditory and vestibular area after meningitis in childhood and adolescence. HNO 42: 14–21PubMedGoogle Scholar
  5. Balkany TJ, Finkel RS (1986) The dizzy child. Ear Hear 7:138–142 Baloh RW, Konrad HR, Hornrubia V (1975) Vestibulo-ocular func-Google Scholar
  6. tion in patients with cerebellar atrophy. Neurology 25:160–168Google Scholar
  7. Baloh RW, Jacobson K, Fife T (1994) Familial vestibulopathy: a new dominantly inherited syndrome. Neurology 44: 20–25PubMedCrossRefGoogle Scholar
  8. Barabas G, Matthews WS, Ferrari M (1983) Childhood migraine and motion sickness. Pediatrics 72: 188–190PubMedGoogle Scholar
  9. Barr B, Lundstrom R (1961) Deafness following maternal rubella. Acta Otolaryngol (Stockh) 53: 413CrossRefGoogle Scholar
  10. Gasser LS (1964) Benign paroxysmal vertigo of childhood. (A variety of vestibular neuronitis.) Brain 87: 141–152Google Scholar
  11. Beddoe GM (1977) Vertigo in childhood. Otolaryngol Clin North Am 10: 139–144PubMedGoogle Scholar
  12. Belenky WM, Madgy DN, Leider JS, Becker CJ, Hotaling AJ (1993) The enlarged vestibular aqueduct syndrome ( EVA syndrome ). Ear Nose Throat J 72: 746–751Google Scholar
  13. Bickerstaff ER (1961) Basilar artery migraine. Lancet I:15–17 Bixenman WW (1983) Congenital hereditary downbeat nystagmus. Can J Ophthalmol 18: 344–348Google Scholar
  14. Blayney WA, Colman BH (1984) Dizziness in childhood. Clin Otolaryngol 9: 77–85PubMedCrossRefGoogle Scholar
  15. Bower CM, Cotton RT (1995) The spectrum of vertigo in children. Arch Otolaryngol Head Neck Surg 121: 911–915PubMedCrossRefGoogle Scholar
  16. Brandt Th, Büchele W (1984) Kindliche Schwindelformen. In: Mortier W (ed) Moderne Diagnostik and Therapie bei Kindern. Grosse, Berlin, pp 70–85Google Scholar
  17. Brandt Th, Wenzel D, Dichgans J (1976) Die Entwicklung der visuellen Stabilisation des aufrechten Standes beim Kind. Ein Reifezeichen in der Kinderneurologie. Arch Psychiat Nervenkr 223: 1–13Google Scholar
  18. Bratt HD, Menelaus MB (1992) Benign paroxysmal torticollis of infancy. J Bone Joint Surg Br 74: 449–451PubMedGoogle Scholar
  19. Britton BH, Block LD (1988) Vertigo in the pediatric and adolescent age group. Laryngoscope 96: 139–146Google Scholar
  20. Brunt D, Broadhead GD (1982) Motor proficiency traits of deaf children. Res Q Exercise Sport 53: 236–238CrossRefGoogle Scholar
  21. Butterfield SA (1986) Gross motor profiles of deaf children. Percept Mot Skills 62: 68–72PubMedCrossRefGoogle Scholar
  22. Cassandro E, Mosca F, Sequino L, De Falco FA, Campanella G (1986) Otoneurological findings in Friedreich’s ataxia and other inherited neuropathies. Audiology 25: 84–91PubMedCrossRefGoogle Scholar
  23. Chambers BR, Mai M, Barber HO (1985) Bilateral vestibular loss, oscillopsia, and the cervico-ocular reflex. Otolaryngol Head Neck Surg 93: 403–407PubMedGoogle Scholar
  24. Chinn HI, Smith PK (1955) Motion sickness. Pharmacol Rev 7: 33–83PubMedGoogle Scholar
  25. Cohen HA, Nussinovitch M, Ashkenasi A, Straussberg R, Kauschanksy A, Frydman M (1993) Benign paroxysmal torticollis in infancy. Pediatr Neurol 9: 488–490PubMedCrossRefGoogle Scholar
  26. Crook JP (1967) Congenital fistula in the stapedial footplate. South Med J 60: 1168–1170PubMedCrossRefGoogle Scholar
  27. Ell J, Prasher D, Rudge P (1984) Neuro-otological abnormalities in Friedreich’s ataxia. J Neurol Neurosurg Psychiatry 47: 26–32PubMedCrossRefGoogle Scholar
  28. Enbom H, Magnusson M, Pyykkö I (1991) Postural compensation in children with congenital or early acquired bilateral vestibular loss. Ann Otol Rhinol Laryngol 100: 472–478PubMedGoogle Scholar
  29. Eviatar L, Eviatar A (1977) Vertigo in children: differential diagnosis and treatment. Pediatrics 59: 833–838PubMedGoogle Scholar
  30. Eviatar L (1994) Dizziness in children. Otolaryngol Clin North Am 27: 557–571PubMedGoogle Scholar
  31. Fried MP (1980) The evaluation of dizziness in children. Laryngoscope 90: 1548–1560PubMedGoogle Scholar
  32. Furman JMR, Baloh RW,Yee RD (1986) Eye movement abnormalities in a family with cerebellar vermian atrophy. Acta Otolaryngol (Stockh) 101: 371–377CrossRefGoogle Scholar
  33. Furman JMR, Wall C III, Pang D (1990) Vestibular function in periodic alternating nystagmus. Brain 113: 1425–1439PubMedCrossRefGoogle Scholar
  34. Gardner WJ, Frazier CH (1930) Bilateral acoustic neurofibromas: a clinical study and field survey of a family of five generations with bilateral deafness in thirty-eight members. Arch Neurol Psychiat 23: 266–302CrossRefGoogle Scholar
  35. Harrison MS (1962) Vertigo in childhood. J Laryngol Otol 76: 601–616PubMedCrossRefGoogle Scholar
  36. Hausler R, Toupet M, Guidetti G, Basseres F, Montandon P (1987) Menière’s disease in children. Am J Otolaryngol 8: 187–193PubMedCrossRefGoogle Scholar
  37. Hill J, Elliott C, Coloquhoun I (1992) Audiological, vestibular and radiological abnormalities in Kallman’s syndrome. J Laryngol Otol 106: 530–534PubMedCrossRefGoogle Scholar
  38. Horak FB, Shumway-Cook A, Crowe TK, Black FO (1988) Vestibular function and motor proficiency of children withGoogle Scholar
  39. impaired hearing or with learning disability and motor impairments. Dev Med Child Neurol 30:64–79Google Scholar
  40. Horton WA, Wong V, Eldridge R (1976) Von Hippel-Lindau disease: Clinical and pathological manifestations in nine families with 50 affected members. Arch Intern Med 136: 769–777PubMedCrossRefGoogle Scholar
  41. Hoyt CS, Gelbart SS (1984) Vertical nystagmus in infants with congenital ocular abnormalities. Ophthalmol Paediat Genet (Amsterdam) 4: 155–162CrossRefGoogle Scholar
  42. Huygen PLM, Verhagen WIM (1994) Peripheral vestibular and vestibulo-cochlear dysfunction in hereditary disorders. J Vestib Res 4: 81–104PubMedGoogle Scholar
  43. Kattah JC, Kolsky MP, Guy J, O’Doherty D (1983) Primary position vertical nystagmus and cerebellar ataxia. Arch Neurol 40: 310–314PubMedCrossRefGoogle Scholar
  44. Komune S, Nogami K, Inoue H, Uemura T (1993) Bilateral Mondini dysplasia with normal hearing. ORL J Otorhinolaryngol Relat Spec 55: 143–146PubMedCrossRefGoogle Scholar
  45. Kumar A, Fishman G Torok N (1984) Vestibular and auditory function in Usher’s syndrome. Ann Otol Rhinol Laryngol 93: 600–608PubMedGoogle Scholar
  46. Lanzi G, Balottin U, Fazzi E, Tagliasacchi M, Manfrin M, Mira E (1994) Benign paroxysmal vertigo of childhood: a long term follow-up. Cephalalgia 14: 458–460PubMedCrossRefGoogle Scholar
  47. Lenard HG, Voit T, Lamprecht A, Kahn T, Neuen-Jacob E, Ruitenbeek W (1992) Sudden loss of hearing and vestibular function, muscular weakness, and multiple white matter lesions in preschool children. Neuropediatry 23: 221–224CrossRefGoogle Scholar
  48. Longridge NS (1989) Progressive vestibular failure in childhood. Acta Otolaryngol (Stockh) 468: 375–377CrossRefGoogle Scholar
  49. Mangabeira-Albernaz PL, Ganancam M (1988) Sudden vertigo of central origin. Acta Otolaryngol (Stockh) 105: 564–569CrossRefGoogle Scholar
  50. Murofushi T, Ouvrier RA, Parker GD, Graham RI, Da Silva M, Halmagyi GM (1997) Vestibular abnormalities in CHARGE association. Ann Otol Rhinol Laryngol 106: 129–134PubMedGoogle Scholar
  51. Oosterveld WJ, Rademakers WJAC (1979) Nystagmus alternans. Acta Otolaryngol (Stockh) 87: 404–409CrossRefGoogle Scholar
  52. Pappas DG (1983) Hearing impairments and vestibular abnormalities among children with subclinical cytomegalovirus. Ann Otol Rhinol Laryngol 92: 552–557PubMedGoogle Scholar
  53. Petroff MA, Simmons FB, Winzelberg J (1986) Two emerging perilymph fistula “syndromes” in children. Laryngoscope 96: 498–501PubMedCrossRefGoogle Scholar
  54. Pyykkö I, Vesikivi M, Ishizaki H, Magnusson M, Juhola M (1991) Postural control in blinds and in Usher’s syndrome. Acta Otolaryngol (Stockh) Suppl 481: 603–606CrossRefGoogle Scholar
  55. Rasmussen N, Johnsen NJ, Bohr VA (1991) Otologic sequelae after pneumococcal meningitis: a survey of 164 consecutive cases with a follow-up of 94 surviors. Laryngoscope 101: 876–882PubMedCrossRefGoogle Scholar
  56. Rice WJ, Waggoner LG (1967) Congenital cerebrospinal fluid otorrhea via a defect in the stapes footplate. Laryngoscope 77: 341–349PubMedCrossRefGoogle Scholar
  57. Sadé J, Yaniv E (1984) Menière’s disease in infants. Acta Otolaryngol (Stockh) 97: 33–37CrossRefGoogle Scholar
  58. Savundra P, Skacel P, Rudge P (1996) Peripheral vestibulopathy in sickle cell disease. J Audiol Med 5: 61–66Google Scholar
  59. Schlessel DA, Nedzelski JM (1992) Presentation of large vestibular aqueduct syndrome to a dizziness unit. J Otolaryngol 21: 265–269Google Scholar
  60. Shibasaki H, Amashita Y, Motomura S (1978) Suppression of congenital nystagmus. J Neurol Neurosurg Psychiatry 41: 1078–1983PubMedCrossRefGoogle Scholar
  61. Shirabe S (1988) Vestibular neuronitis in childhood. Acta Otolaryngol (Stockh) Suppl 458: 120–122CrossRefGoogle Scholar
  62. Simmons FB (1973) Patients with bilateral loss of caloric response. Ann Otol 82: 175–178Google Scholar
  63. Tahara T, Sekitani T, Imate Y, Kanesada K, Okami M (1993) Vestibular neuronitis in children. Acta Otolaryngol (Stockh) Suppl 503: 49–52CrossRefGoogle Scholar
  64. Theunissen EJJM, Huygen PLM, Verhagen WIM (1989) Familial vestibulocerebellar dysfunction: a new syndrome? J Neurol Sci 89: 149–155PubMedCrossRefGoogle Scholar
  65. Tong KA, Harnsberger HR, Dahlen RT, Carey JC, Ward K (1997) Large vestibular aqueduct syndrome: a genetic disease? Am J Roentgenol 168: 1097–1101CrossRefGoogle Scholar
  66. Trop I, Schloss MD, Polomeno R, Der Kaloustian V (1995) Usher syndrome in four siblings from a consanguineous family of Pakistani origin. J Otolaryngol 24: 102–104PubMedGoogle Scholar
  67. Tusa RJ, Saada Jr AA, Niparko JK (1994) Dizziness in childhood. J Child Neurol 9: 261–274PubMedCrossRefGoogle Scholar
  68. Vanniasegaram I, Bellman S (1994) Vestibular function in Stickler’s syndrome. J Audiol Med 3: 129–150Google Scholar
  69. Verhagen WIM, Huygen PLM, Horstink NWIM (1987) Familial congenital vestibular areflexia. J Neurol Neurosurg Psychiatry 50: 933–935PubMedCrossRefGoogle Scholar
  70. Verhagen WIM, Huygen PLM (1994) Central vestibular, vestibuloacoustic and oculomotor dysfunction in hereditary disorders. J Vestib Res 4: 105–135PubMedGoogle Scholar
  71. Verhagen WIM, Huygen PLM, Arts WFM (1996) Multi-system signs and symptoms in X-linked ataxia carriers. J Neurol Sci 140: 85–90PubMedCrossRefGoogle Scholar
  72. Vollertsen RS, McDonald TJ, Younge BR, Banks PM, Stanson AW, Ilstrup DM (1986) Cogan’s syndrome: 18 cases and a review of the literature. Mayo Clin Proc 61: 344–361PubMedCrossRefGoogle Scholar
  73. Weber PC, Perez BA, Bluestone CD (1993) Congenital perilymphatic fistula and associated middle ear abnormalities. Laryngoscope 103: 160–164PubMedCrossRefGoogle Scholar
  74. Weider DJ, Musiek FEC (1984) Bilateral congenital oval window microfistula in a mother and son. Laryngoscope 94: 1455–1458PubMedCrossRefGoogle Scholar
  75. Weissman BM, Dell’Osso LF, Discenna A (1988) Downbeat nystagmus in an infant: Spontaneous resolution during infancy. Neuro-Ophthalmology 8: 317–319Google Scholar

Copyright information

© Springer-Verlag London 2003

Authors and Affiliations

  • Thomas Brandt
    • 1
  1. 1.Neurologische Klinik, Klinikum GroßhadernLudwig-Maximillians-UniversitätMunichGermany

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