中华耳科学杂志2011，Vol.9Issue(4)：376-381,6.
学龄前儿童眩晕的病因分析及诊断方法的合理选择
Preschool children' s vertigo: an investigation of etiologies and choice of appropriate diagnostic techniques
摘要
Abstract
Objective To identify common etiologies, clinical characteristics and appropriate diagnostic techniques in preschool children with vertigo. Methods The authors retrospectively analyzed the clinical characteristics, process of diagnosis and treatment in 12 vertigo-suffering children aging from 14 months to 6.5 years, and their parents' attitude toward the diagnostic techniques. Results (l) Etiologies of vertigo in the 12 children included secretory otitis media (SOM, n=3), benign paroxysmal vertigo (BPV, n=3), inner ear malformation (n=3), benign paroxysmal positional vertigo (BPPV, n=2) and Meniere' s disease (MD, n=l). (2) The younger the child, the fewer typical complaints of vertigo, instead of recurrent falls, difficulties in walking, poor balance and clumsiness, fear or panic. The youngest child that complained of vertigo was 5.5 years old. None of the children were able to describe the details of their vertigo episodes. (3) Among all the diagnostic techniques, vertigo questionnaire was the most acceptable to parents, and vestibular tests were the least. Conclusion Common etiologies of preschool children vertigo include SOM, BPV and inner ear malformation, Sufferers younger than 5 years seldom complain of vertigo. Vertigo questionnaires are powerful tools for clinicians in detecting vertigo and a thorough understanding of the history and symptoms helps the clinician in selecting appropriate diagnostic techniques.关键词
学龄前儿童/眩晕/病因/儿童眩晕问卷Key words
Preschool children/Vertigo/Etiologies/Vertigo questionnaire for children分类
医药卫生引用本文复制引用
曾祥丽,李鹏,李永奇,岑锦添,黎志成..学龄前儿童眩晕的病因分析及诊断方法的合理选择[J].中华耳科学杂志,2011,9(4):376-381,6.基金项目
广东省科技计划项目资助(2010B060900032) （2010B060900032）
