儿童复发性眩晕伴单侧前庭功能障碍临床特点及预后相关因素分析OACSTPCD

OBJECTIVE To investigate the clinical characteristics and prognosis of recurrent vertigo of childhood with unilateral peripheral vestibular dysfunction,and to analyze the prognostic factors.METHODS The clinical data of children with recurrent vertigo with unilateral peripheral vestibular dysfunction treated in the Department of Otolaryngology Head and Neck Surgery of Beijing Children's Hospital from January 2022 to January 2023 were analyzed retrospectively.RESULTS There were 42 children who were included in the study,the age ranged from 4 to 13 years old,and the age was(7.95±0.415)years old.The duration of disease was(6.01±1.618)weeks,23.8%of patients had non-migraine headache,26.2%had motion sickness,and 23.8%had respiratory tract infection within 1 month.Vestibular rehabilitation was performed in 26 cases(61.9%).After 1 month of treatment,the cure rate of vestibular symptoms was 66.67%,and the recovery rate of caloric test was 73.80%,PVSQ was significantly different between the two groups(P=0.001).VR treatment was associated with vestibular symptom cure rate(P=0.004),but not with recovery rate of double-temperature test(P=0.148).CONCLUSION In addition to symptomatic treatment,vestibular rehabilitation training is recommended to achieve a higher clinical symptom remission rate in recurrent vertigo pediatrics with unilateral peripheral vestibular dysfunction.