Frontiers in Neurology (Nov 2022)
Characteristics of vestibular migraine, probable vestibular migraine, and recurrent vertigo of childhood in caloric and video head impulse tests
- Qin Zhang,
- Qin Zhang,
- Qin Zhang,
- Qiong Wu,
- Qiong Wu,
- Qiong Wu,
- Jianyong Chen,
- Jianyong Chen,
- Jianyong Chen,
- Xueyan Wang,
- Yuzhong Zhang,
- Shuyun Liu,
- Lu Wang,
- Lu Wang,
- Lu Wang,
- Jiali Shen,
- Jiali Shen,
- Jiali Shen,
- Min Shen,
- Min Shen,
- Min Shen,
- Xinyi Tang,
- Xinyi Tang,
- Xinyi Tang,
- Ling Mei,
- Ling Mei,
- Ling Mei,
- Xiangping Chen,
- Xiangping Chen,
- Xiangping Chen,
- Yulian Jin,
- Yulian Jin,
- Yulian Jin,
- Jun Yang,
- Jun Yang,
- Jun Yang,
- Qing Zhang,
- Qing Zhang,
- Qing Zhang
Affiliations
- Qin Zhang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qin Zhang
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qin Zhang
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Qiong Wu
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qiong Wu
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qiong Wu
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Jianyong Chen
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jianyong Chen
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jianyong Chen
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Xueyan Wang
- Department of Otolaryngology Head and Neck Surgery, Affiliated Hospital of Yanbian University, Yanji, Jilin, China
- Yuzhong Zhang
- Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi, China
- Shuyun Liu
- Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China
- Lu Wang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Lu Wang
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Lu Wang
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Jiali Shen
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jiali Shen
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jiali Shen
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Min Shen
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Min Shen
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Min Shen
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Xinyi Tang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Xinyi Tang
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Xinyi Tang
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Ling Mei
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Ling Mei
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Ling Mei
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Xiangping Chen
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Xiangping Chen
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Xiangping Chen
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Yulian Jin
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Yulian Jin
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Yulian Jin
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Jun Yang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jun Yang
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Jun Yang
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- Qing Zhang
- Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qing Zhang
- Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China
- Qing Zhang
- Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China
- DOI
- https://doi.org/10.3389/fneur.2022.1050282
- Journal volume & issue
-
Vol. 13
Abstract
ObjectiveVertigo is very common in children, but the specific diagnosis and characteristics are not clear. The main objective of this study was to analyze the characteristics of caloric test (CT) and video head impulse test (vHIT) in vestibular migraine of childhood (VMC), probable vestibular migraine of childhood (PVMC), and recurrent vertigo of childhood (RVC), which can provide a reference value for their clinical diagnosis.MethodsWe selected VMC, PVMC and RVC patients under 18 years of age from the outpatient Department of Otolaryngology–Head and Neck Surgery between May 2021 and August 2022. All patients underwent vestibular function examinations, including eye movement recording CT and vHIT. CT results depended on whether both canal paresis and directional preponderance were under normal limits, and vHIT results depended on the gain values of vestibulo-ocular reflex. The results of both tests were analyzed according to the disease type.ResultsAmong the 81 pediatric vertigo patients aged 5–17 years, 44 were females and 37 were males. According to the type of vertigo, 29 patients (25.80%) were diagnosed with VMC, 11 (13.58%) with PVMC, and 41 (50.62%) with RVC. The abnormal rates of the CT in VMC, PVMC, and RVC patients were 24.14%, 36.36%, and 17.07%, respectively. There was no significant difference in the abnormal rates among the three groups (P > 0.05). None of the patients showed abnormal vHIT results (all abnormal rates 0.00%). The abnormal CT rates were significantly higher than those of abnormal vHIT rates (P < 0.05).ConclusionsVMC, PVMC, and RVC are more likely to be diagnosed by symptoms, as neither CT nor vHIT are specific to any conditions. Due to different clinical presentations of vertigo in pediatric patients, it is critical to further clarify the diagnosis with medical history and clinical characteristics.
Keywords
