n CME : Your SA Journal of CPD - Steady the dizzy child : main topic

Volume 21, Issue 11
  • ISSN : 0256-2170



Dizziness in children can be caused by central and peripheral disorders. <br>A thorough clinical history and physical examination highlighting the otological and neurological systems remains the cornerstone of diagnosis. <br>Videonystagmography (VNG) is an excellent method of recording nystagmus. <br>Magnetic resonance imaging (MRI) with intravenous contrast is the preferable imaging method to detect brainstem and cere-bellopontine angle pathology. <br>Otitis media (OM) and middle-ear effusion (MEE) are the most common causes of dizziness in children as seen in ENT clinics. <br>Benign paroxysmal vertigo of childhood is a self-limiting disease which does not necessitate any treatment. <br>The most common cause for peripheral vertigo in adults, benign paroxysmal positional vertigo (BPPV), is much less common in childhood. <br>Oscillopsia (jumbling of the panorama) is a sign of bilateral vestibular failure. <br>Midline cerebellar and brainstem tumors often cause progressive vertigo, ataxia and oculomotor abnormalities.

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