1.6.2 Benign paroxysmal vertigoHartmut Gobel2018-02-06T09:55:57+00:00
Description:
A disorder characterized by recurrent brief attacks of vertigo, occurring without warning and resolving spontaneously, in otherwise healthy children.
Diagnostic criteria:
- At least five attacks fulfilling criteria B and C
- Vertigo1 occurring without warning, maximal at onset and resolving spontaneously after minutes to hours without loss of consciousness
- At least one of the following five associated symptoms or signs:
- nystagmus
- ataxia
- vomiting
- pallor
- fearfulness
- Normal neurological examination and audiometric and vestibular functions between attacks
- Not attributed to another disorder2.
Notes:
- Young children with vertigo may not be able to describe vertiginous symptoms. Parental observation of episodic periods of unsteadiness may be interpreted as vertigo in young children.
- In particular, posterior fossa tumours, seizures and vestibular disorders have been excluded.
Comment:
The relationship between 1.6.2 Benign paroxysmal vertigo and A1.6.6 Vestibular migraine (see Appendix) needs to be further examined.