Benign Paroxysmal Positional Vertigo in Children and Adolescents With Concussion.
BPPV
concussion
dizziness
pediatric
postconcussion syndrome
vertigo
vestibular
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
380-386Références
Am J Sports Med. 2014 Oct;42(10):2479-86
pubmed: 25106780
Acta Otolaryngol. 1999;119(7):745-9
pubmed: 10687929
Otolaryngol Head Neck Surg. 2018 Aug;159(2):365-370
pubmed: 29685082
J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5
pubmed: 17135456
Otol Neurotol. 2018 Mar;39(3):344-350
pubmed: 29287036
Otolaryngol Head Neck Surg. 2015 Jun;152(6):1133-9
pubmed: 25820582
Ann Otol Rhinol Laryngol. 2017 Jan;126(1):54-60
pubmed: 27780909
CMAJ. 2003 Sep 30;169(7):681-93
pubmed: 14517129
Otolaryngol Head Neck Surg. 2008 Nov;139(5 Suppl 4):S47-81
pubmed: 18973840
Pediatrics. 2014 Jun;133(6):999-1006
pubmed: 24819569
Radiology. 2014 Jul;272(1):224-32
pubmed: 24735411
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
Curr Opin Neurol. 2015 Feb;28(1):78-82
pubmed: 25502049
Am J Sports Med. 2011 Nov;39(11):2311-8
pubmed: 21712482
Otol Neurotol. 2004 Mar;25(2):135-8
pubmed: 15021772
J Neurol Neurosurg Psychiatry. 2007 Nov;78(11):1231-8
pubmed: 17371902
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Semin Neurol. 2009 Nov;29(5):473-81
pubmed: 19834858