Vestibular paroxysmia in children: a treatable cause of short vertigo attacks.

Nadine Lehnen, Thyra Langhagen, Florian Heinen, Doreen Huppert, Thomas Brandt, Klaus Jahn

Developmental medicine and child neurology 2015 Apr

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Vestibular paroxysmia due to neurovascular compression is a syndrome consisting of frequent short episodes of vertigo in adults that can be easily treated. Here we describe the initial presentation and follow-up of three children (one female, 12y; two males, 8y and 9y) who experienced typical, brief, vertiginous attacks several times a day. Nystagmus was observed during the episodes. Cranial magnetic resonance imaging revealed arterial compression of the eighth cranial nerve. The attacks ceased after administration of low-dose carbamazepine (2-4mg/kg daily). Vestibular paroxysmia must be considered in the differential diagnosis of children with brief vertiginous episodes. © 2014 Mac Keith Press.

Citation

Nadine Lehnen, Thyra Langhagen, Florian Heinen, Doreen Huppert, Thomas Brandt, Klaus Jahn. Vestibular paroxysmia in children: a treatable cause of short vertigo attacks. Developmental medicine and child neurology. 2015 Apr;57(4):393-6