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Benign paroxysmal vertigo of childhood

      Abstract

      Benign paroxysmal vertigo of childhood (BPV) is a paroxysmal, non-epileptic, recurrent event characterized by subjective or objective vertigo that occurs in neurologically intact children. We recorded the history and the clinical aspects of 19 cases presenting with neurological problems to the outpatient clinic at the Pediatrics Department of Padova University between 1987 and 1998 and re-examined in 1999. Details were collected on the characteristics of their vertigo: age at onset, mode of onset, trigger factors, duration, frequency and recurrence of episodes, duration of symptoms in time and age at disappearance. An attempt was also made to establish any family history of migraine and kinetosis and the most important data were compared, when possible, with those reported in the literature. Differential diagnosis and pathogenetic hypothesis were also reported. It is worth emphasizing that it is important for pediatricians to be aware of these benign events to ensure a correct diagnostic approach, avoiding the child and family any pointless anxiety or costly and sometimes invasive diagnostic procedures.

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      References

        • Basser L.S.
        Benign paroxysmal vertigo of childhood.
        Brain. 1964; 87: 141-152
        • Abu-Arafeh I.
        • Russel G.
        Paroxysmal vertigo as a migraine equivalent in children: a population-based study.
        Cephalalgia. 1995; 15: 22-25
        • Russell G.
        • Abu-Arafeh I.
        Paroxysmal vertigo in children-an epidemiological study.
        Int J Pediatr Otorhinolaryngol. 1999; 49: S105-S107
        • Dalla Bernardina B.
        • Colamaria V.
        • Santoni P.
        • Bondavalli S.
        • Capovilla G.
        • Gattoni M.B.
        Vertigine parossistica benigna dell'infanzia.
        in: Cancer R. Avanzini G. Baruzzi A. Attualità in epilettologia. Neurotrasmettitori. Diagnosi differenziale. Boll Lega It Epil. 1982: 37-38
        • Lanzi G.
        • Balottin U.
        • Fazzi E.
        • Tagliasacchi M.
        • Manfrin M.
        • Mira E.
        Benign paroxysmal vertigo of childhood: a long-term follow-up.
        Cephalalgia. 1994; 14: 458-460
        • Mira E.
        • Piacentino G.
        • Lanzi G.
        • Ballottin U.
        Benign paroxysmal vertigo in childhood. Diagnostic significance of vestibular examination and headache provocation tests.
        Acta Otolaryngol suppl. 1984; 406: 271-274
        • Eviatar L.
        • Eviatar A.
        Vertigo in children: differential diagnosis and treatment.
        Pediatrics. 1977; 59: 833-838
        • Finkelhor B.K.
        • Harker L.A.
        Benign paroxysmal vertigo of childhood.
        Laryngoscope. 1987; 97: 1161-1163
        • Koehler B.
        Benign paroxysmal vertigo of childhood: a migraine equivalent.
        Eur J Pediatr. 1980; 134: 149-151
        • Headache Classification Committee of the International Headache Society
        Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain.
        Cephalalgia. 1988; 8: 10-73
      1. Vertigine parossistica benigna.
        in: Castelli S. Domenici R. Meossi C. La sindrome periodica del bambino. McGraw-Hill, Milano1993: 63-66
        • Perez Plasencia D.
        • Beltran Mateos L.D.
        • del Canizo Alvarez A.
        • Sancipriano J.A.
        • Calvo Boizas E.
        • Benito Gonzalez J.J.
        Benign paroxysmal vertigo in childhood.
        Acta Otorrinolaringol Esp. 1998; 49: 151-155
        • Terwindt G.M.
        • Ophoff R.A.
        • Haan J.
        • Sandkuijl L.A.
        • Frants R.R.
        • Ferrari M.D.
        Migraine, ataxia and epilepsy: a challenging spectrum of genetically determined calcium channelopathies.
        Dutch Migraine Genetics Research Group. Eur J Hum Genet. 1998; 6: 297-307