Clinical Profile, Trends, and Management in Pediatric Patients with Audiovestibular Disorders: Can We Predict Emotional Disability in Pediatric Patients with Episodes of Vertigo and Dizziness?
Abstract
:1. Introduction
2. Materials and Methods
2.1. Clinical Study Design
2.2. Patient Selection
2.3. Inclusion Criteria
- (1)
- Individuals under 18 years of age presenting to the Otolaryngology department with symptoms of vertigo or instability.
- (2)
- Patients with vestibular and auditory alterations, regardless of the involvement of other structures in the otolaryngological area.
- (3)
- Informed consent was obtained from their legal representatives, who agreed to participate in the study following the 1975 Declaration of Helsinki.
2.4. Medical and/or Surgical Treatment
2.5. Follow-Up
2.6. Measurement via Questionnaires
2.7. Representation and Statistical Analysis
3. Results
3.1. Population
3.2. Symptoms and Diagnosis
3.3. Questionnaires
3.4. Treatment
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Demographic Description | ||
---|---|---|
Age At Diagnosis | 11.19 ± 5.61 (1–18) years | |
Genre | 70 (59.82%) Women | 47 (40.17%) Men |
Follow-Up | 4.33 ± 1.29 (1 month–6.23 years) |
Diagnostic | Patients | Spontaneous Nystagmus | SVIN | Altered vHIT | Altered VEMPS | Other |
---|---|---|---|---|---|---|
VM | 48 (41.03%) | n = 6 p value = 0.078 | n = 4 p value = 0.739 | n = 4 p value = 1.000 | n = 14 p value = 0.512 | n = 15 Definitive n = 33 Probable VM |
RVC | 28 (23.93%) | n = 3 p value = 1.00 | n = 3 p value = 1.00 | n = 1 p value = 1.00 | n = 7 p value = 1.00 | - |
Idiopathic | 9 (6.84%) | n = 0 p value = 0.571 | n = 0 p value = 0.529 | n = 0 p value = 1.00 | n = 0 p value = 1.00 | - |
Otic capsule dehiscence | 8 (6.84%) | n = 3 p value = 0.072 | n = 4 p value = 0.051 | n = 4 p = 0.009 | n = 8 p value ≤ 0.001 | n = 4 SSCDS n = 2 EVA n = 1 Perilymphatic fistula and 1 PSC |
BPPV | 6 (5.13%) | n = 0 p value = 1.00 | n = 1 p value = 1.00 | n = 0 p value = 1.00 | n = 2 p value = 1.00 | n = 2 HSC and 2 PSC n = 2 Multicanal |
Endolymphatic hydrops | 6 (5.13%) | n = 3 p value = 0.072 | n = 3 p value = 0.153 | n = 3 p value = 0.153 | n = 6 p value ≤ 0.001 | n = 3 Autoimmune ear disease n = 3 definitive MD |
Acute vestibular syndrome | 4 (3.42%) | n = 4 p = 0.072 | n = 2 p value = 0.003 | n = 3 p value = 0.003 | n = 3 p value = 0.194 | n = 2 Vestibular neuritis n = 2 Laberinthitis |
Vestibular paroxysmia | 4 (3.42%) | n = 2 p = 0.001 | n = 0 p value = 0.286 | n = 0 p value = 1.00 | n = 2 p value = 1.00 | n = 2 Definitive and 2 Probable VP |
Central vertigo | 3 (2.56%) | n = 2 p value = 0.070 | n = 2 p value = 0.076 | n = 2 p value = 0.286 | n = 3 p value = 1.00 | n = 1 Multiple sclerosis n = 1 Pilocytic astrocytoma n = 1 Rathke cleft cyst |
Post cochear implantation | 1 (0.85%) | n = 1 p value = 0.019 | n = 1 p value = 0.033 | n = 0 p value = 0.033 | n = 1 p value = 1.00 | - |
Diagnostic | Treatment |
---|---|
Vestibular migraine | Surveillance = 32 Calcium channel blockers = 6 Triptans = 5 Acetazolamide = 2 Tryptizol = 2 Topiramate = 1 |
RVC | Surveillance = 17 Vestibular rehabilitation = 7 Antihistamines = 2 Calcium channel blockers = 2 |
Idiopathic | Surveillance = 5 Vestibular rehabilitation = 4 |
Otic capsule dehiscence | Surveillance = 4 Surgery for cochlear implantation = 3 Acetazolamide = 1 |
BPPV | Lempert maneuver = 2 Epley maneuver = 2 Sulpiride = 1 Surveillance = 1 |
Endolymphatic hydrops | Surgery for cochlear implantation = 3 Surveillance = 2 Acetazolamide = 1 |
Acute vestibular syndrome | Steroids = 2 Vestibular rehabilitation = 1 Surveillance = 1 |
Vestibular paroxysmia | Oxcarbazepine = 2 Calcium channel blockers = 2 |
Central vertigo | Surgery and radiotherapy for astrocytoma = 1 Azetazolamide for IH due to Rathke cyst = 1 Natalizumab for multiple sclerosis = 1 |
Post cochear implantation | Vestibular rehabilitation = 1 |
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Lorente-Piera, J.; Pérez-Fernández, N.; Blanco-Pareja, M.; Manrique-Huarte, R.; Michael Larenas, P.; Serra, V.; Manrique, M. Clinical Profile, Trends, and Management in Pediatric Patients with Audiovestibular Disorders: Can We Predict Emotional Disability in Pediatric Patients with Episodes of Vertigo and Dizziness? Audiol. Res. 2024, 14, 701-713. https://doi.org/10.3390/audiolres14040059
Lorente-Piera J, Pérez-Fernández N, Blanco-Pareja M, Manrique-Huarte R, Michael Larenas P, Serra V, Manrique M. Clinical Profile, Trends, and Management in Pediatric Patients with Audiovestibular Disorders: Can We Predict Emotional Disability in Pediatric Patients with Episodes of Vertigo and Dizziness? Audiology Research. 2024; 14(4):701-713. https://doi.org/10.3390/audiolres14040059
Chicago/Turabian StyleLorente-Piera, Joan, Nicolás Pérez-Fernández, Melissa Blanco-Pareja, Raquel Manrique-Huarte, Pia Michael Larenas, Valeria Serra, and Manuel Manrique. 2024. "Clinical Profile, Trends, and Management in Pediatric Patients with Audiovestibular Disorders: Can We Predict Emotional Disability in Pediatric Patients with Episodes of Vertigo and Dizziness?" Audiology Research 14, no. 4: 701-713. https://doi.org/10.3390/audiolres14040059