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Research in Vestibular Science > Volume 10(3); 2011 > Article
Research in Vestibular Science 2011;10(3): 88-91.
소아 어지럼의 임상양상
김재은, 김규성, 김영효, 최정석, 최호석
인하대학교 의학전문대학원 이비인후-두경부외과학교실
Clinical Characteristics of Pediatric Dizziness
Jae Eun Kim, Kyu Sung Kim, Young Hyo Kim, Jeong Seok Choi, Hoseok Choi
Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon, Korea. stedman@inha.ac.kr
Background and Objectives:   Pediatric dizziness is difficult to diagnose because of the nonspecific nature of symptom, and difficulty in history taking, physical examination or diagnostic tests. The authors tried to analyze the proportion of diseases in children suffering from dizziness, and introduce cases with atypical clinical characteristics and uncommon diagnosis. Materials and
The medical records of 53 pediatric patients suffering from dizziness were analyzed retrospectively. We analyzed the findings of history taking, physical examination for nystagmus and cerebellar function, pure tone audiogram and caloric tests in all patients.
Diagnosis of migrainous vertigo was most common (32.7%), followed by psychological cause (11.5%) and labyrinthitis due to the otitis media (7.7%). Cases of cerebellar hemangioblastoma, neurofibromatosis and drug intoxication were also found.
The clinical characteristics and causative diseases of pediatric dizziness are different from those of adults. Appropriate history taking and diagnostic tests are improtant for differential diagnosis.
Keywords: Vertigo; Child; Migraine disorders
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