Abstract
Objective
Vestibular migraine (VM) is the most common cause of episodic vertigo afflicts 1%
of the general population. The complexity of VM is owing to the migrainous, and vestibular
components and much knowledge have been gained in recent years on VM in the adult
population. Akin to that, numerous studies focusing on VM in children and adolescent
has emerged. We reviewed the literature to understand the characteristics and diagnostic
approach of VM in children and adolescents.
Methods
A literature search was conducted over a period of one month (April 2022).
Results
16 articles were selected based on our objective and selection criteria. A total of
patients was included, with a median age of 10.9 years. 11 studies diagnosed VM based
on diagnostic criteria. Caloric test and electro/videonystagmography are the most
favoured investigation used (50%). Imaging was performed in 56.2% of included studies.
Conclusion
Deciphering the ideal diagnostic approach for VM is prudent to ensure children and
adolescents suffering from VM are treated earlier. VM can be diagnosed using the established
diagnostic criteria, which requires thorough and meticulous history taking. The available
oto-neurological examination aims to exclude other disorders as its significance in
diagnosing VM is still debatable.
Keywords
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References
- The epidemiology of vestibular migraine: a population-based survey study.Otol Neurotol. 2018; 39: 1037-1044
- Vestibular migraine of childhood and recurrent vertigo of childhood: diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the Bárány society and the international headache society.J Vestib Res. 2021; 31: 1-9
- Vestibular pathology' in pediatric population; relevance of vestibular migraine.M J Pedi. 2018; 3: 1-5
- ICHD-3: the international classification of headache disorders.Cephalalgia. 2018; 38: 1-211
- Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.BMJ. 2009; 339: b2535
- Cochrane handbook for systematic reviews of interventions.The Cochrane Collaboration, 2011 (version 5.1.0 [updated March 2011])
- Dizziness and headache: a common association in children and adolescents.J Child Neurol. 2001; 16: 727-730
- Various causes and clinical characteristics in vertigo in children with normal eardrums.Int J Pediatr Otorhinolaryngol. 2003; 67: 889-894
- Vertigo in childhood: a clinical experience.Int J Pediatr Otorhinolaryngol. 2006; 70: 1547-1554
- Etiology of vertigo in children.Int J Pediatr Otorhinolaryngol. 2007; 71: 487-494
- Evaluation of vertiginous children.Eur Arch Otorhinolaryngol. 2007; 264: 1129-1135
- Vestibular pathways involvement in children with migraine: a neuro-otological study.Headache. 2010; 50: 71-76
- Comprehensive vestibular and balance testing in the dizzy pediatric population.Otolaryngol Head Neck Surg. 2011; 144: 142-148
- Vertigo in childhood: a retrospective series of 100 children.Eur J Paediatr Neurol. 2015; 19: 226-232
- Vestibular migraine in children and adolescents: clinical findings and laboratory tests.Front Neurol. 2015; 5: 292
- Evaluation and management of vestibular migraine in children: Experience from a pediatric vestibular clinic.Eur J Paediatr Neurol. 2016; 20: 85-92
- Vestibulo-ocular reflex assessed with video head impulse test in children with vestibular migraine: our experience.Int J Pediatr Otorhinolaryngol. 2020; 137110161
- Clinical and demographic characteristics of children and adolescents with acute vertigo symptoms: a cross-sectional study.Turk J Med Sci. 2020; 50: 1951-1954
- Vestibular disorders in children: a retrospective analysis of vestibular function test findings.Int J Pediatr Otorhinolaryngol. 2021; 146110751
- Prevalence, clinical profile, and diagnosis of pediatric dizziness in a tertiary care hospital.Int J Pediatr Otorhinolaryngol. 2021; 146110761
- Unraveling the etiology of pediatric vertigo and dizziness: a tertiary pediatric center experience.Medicina. 2021; 57 (Kaunas): 475
- Visually evoked postural responses (VEPRs) in children with vestibular migraine.Children. 2021; 9 (Basel): 14
- Neuro-otological manifestations of migraine.Brain. 1984; 107: 1123e42
- Benign paroxysmal vertigo in childhood.Acta Otorrinolaringol Esp. 1998; 49: 151-155
- Migraine-associated dizziness.Headache. 1992; 32: 300-304
- Neurotology of migraine.Headache. 1997; 37: 615-621
- Migraine related vestibulopathy.Ann Otol Rhinol Laryngol. 1997; 106: 182-189
- Systematic review of prevalence studies and familial aggregation in vestibular migraine.Front Genet. 2020; 11: 954
- Vertigo and dizziness in adolescents: risk factors and their population attributable risk.PLoS One. 2017; 12e0187819
- Effects of gender and hypovolemia on sympathetic neural responses to orthostatic stress.Am J Physiol. 2005; 289: R109-RR16
- Initial orthostatic hypotension: review of a forgotten condition.Clin Sci. 2007; 112 (Colch): 157-165
- The interrelations of migraine, vertigo, and migrainous vertigo.Neurology. 2001; 56: 436/441
- Benign paroxysmal positional vertigo (BPPV) in children and adolescents: clinical features and response to therapy in 110 pediatric patients.Otol Neurotol. 2018; 39: 344-350
- Paroxysmal vertigo as a migraine equivalent in children: a population-based study.Cephalalgia. 1995; 15: 22-25
- Successful treatment of a child with definite Meniere's disease with the migraine regimen.Am J Otolaryngol. 2019; 40: 440-442
- Proposal for a new diagnosis for cochlear migraine.JAMA Otolaryngol Head Neck Surg. 2018; 144: 185-186
- Association of tinnitus and other cochlear disorders with a history of migraines.JAMA Otolaryngol Head Neck Surg. 2018; 144: 712-717
- The role of migraine in hearing and balance symptoms.JAMA Otolaryngol Head Neck Surg. 2018; 144: 717-718
- Migrainous vertigo presenting as episodic positional vertigo.Neurology. 2004; 62: 469-472
- Migraine-related vertigo and somatoform vertigo frequently occur in children and are often associated.Neuropediatrics. 2013; 44: 55-58
- Vestibular migraine: long-term follow-up of clinical symptoms and vestibulo-cochlear findings.Neurology. 2012; 79: 1607-1614
- Safety and efficacy of Flunarizine in childhood migraine: 11 years' experience, with emphasis on its effect in hemiplegic migraine.Dev Med Child Neurol. 2012; 54: 274-277
- Patient experience of Flunarizine for vestibular migraine: single centre observational study.Brain Sci. 2022; 12: 415
- Drugs for preventing migraine headaches in children.Cochrane Database Syst Rev. 2003; CD002761
Article info
Publication history
Published online: July 14, 2022
Accepted:
June 30,
2022
Received:
May 27,
2022
Identification
Copyright
© 2022 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.