Benign Paroxysmal Positional Vertigo in Children and Adolescents With Concussion.


Journal

Sports health
ISSN: 1941-0921
Titre abrégé: Sports Health
Pays: United States
ID NLM: 101518422

Informations de publication

Date de publication:
Historique:
pubmed: 3 2 2021
medline: 14 7 2021
entrez: 2 2 2021
Statut: ppublish

Résumé

Dizziness after concussion is primarily attributed to effects on the brain, but traumatic inner ear disorders can also contribute. Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that can result from minor head trauma and can be easily diagnosed and rapidly treated in an office setting. The role of BPPV in pediatric postconcussive dizziness has not been well-studied. To evaluate the prevalence and clinical features of BPPV in a group of pediatric patients with concussion and prolonged dizziness after concussion. Case-control study. Level 3. Retrospective review of 102 patients seen within the past 3 years in a pediatric multidisciplinary concussion clinic for evaluation of postconcussive dizziness. BPPV was diagnosed in 29.4% (30/102) of patients with postconcussion syndrome and dizziness. All patients with BPPV were treated with repositioning maneuvers, except for 5 patients who had spontaneous resolution of symptoms. Patients were evaluated at an average of 18.8 weeks (SD, 16.4 weeks) after the injury. BPPV was diagnosed at similar rates regardless of gender or age group (children vs adolescents). The mean Post-Concussion Symptom Scale (PCSS) score did not differ significantly between patients with (58.3 [SD, 22.5]) or without BPPV (55.8 [SD, 29.4]; BPPV is fairly common in pediatric concussion, occurring in one-third of the patients studied. BPPV is often not diagnosed and treated until many weeks after the injury. Increased awareness of the evaluation and management of BPPV among pediatric concussion providers may help expedite resolution of dizziness and hasten overall recovery in affected patients. BPPV is a treatable cause of dizziness caused by minor head injuries and is more common than previously reported in pediatric patients with concussion. Improved awareness of BPPV by concussion providers may expedite recovery.

Sections du résumé

BACKGROUND BACKGROUND
Dizziness after concussion is primarily attributed to effects on the brain, but traumatic inner ear disorders can also contribute. Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that can result from minor head trauma and can be easily diagnosed and rapidly treated in an office setting. The role of BPPV in pediatric postconcussive dizziness has not been well-studied.
PURPOSE OBJECTIVE
To evaluate the prevalence and clinical features of BPPV in a group of pediatric patients with concussion and prolonged dizziness after concussion.
STUDY DESIGN METHODS
Case-control study.
LEVEL OF EVIDENCE METHODS
Level 3.
METHODS METHODS
Retrospective review of 102 patients seen within the past 3 years in a pediatric multidisciplinary concussion clinic for evaluation of postconcussive dizziness.
RESULTS RESULTS
BPPV was diagnosed in 29.4% (30/102) of patients with postconcussion syndrome and dizziness. All patients with BPPV were treated with repositioning maneuvers, except for 5 patients who had spontaneous resolution of symptoms. Patients were evaluated at an average of 18.8 weeks (SD, 16.4 weeks) after the injury. BPPV was diagnosed at similar rates regardless of gender or age group (children vs adolescents). The mean Post-Concussion Symptom Scale (PCSS) score did not differ significantly between patients with (58.3 [SD, 22.5]) or without BPPV (55.8 [SD, 29.4];
CONCLUSION CONCLUSIONS
BPPV is fairly common in pediatric concussion, occurring in one-third of the patients studied. BPPV is often not diagnosed and treated until many weeks after the injury. Increased awareness of the evaluation and management of BPPV among pediatric concussion providers may help expedite resolution of dizziness and hasten overall recovery in affected patients.
CLINICAL RELEVANCE CONCLUSIONS
BPPV is a treatable cause of dizziness caused by minor head injuries and is more common than previously reported in pediatric patients with concussion. Improved awareness of BPPV by concussion providers may expedite recovery.

Identifiants

pubmed: 33528343
doi: 10.1177/1941738120970515
pmc: PMC8246417
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

380-386

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Auteurs

Alicia Wang (A)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.

Guangwei Zhou (G)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.

Kosuke Kawai (K)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.

Michael O'Brien (M)

Harvard Medical School, Boston, Massachusetts.
Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts.

A Eliot Shearer (AE)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.

Jacob R Brodsky (JR)

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.
Harvard Medical School, Boston, Massachusetts.

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