Pregledni rad
https://doi.org/10.26800/LV-145-supl1-29
Vertigo in children
Dunja Čokolić Petrović
; Klinički bolnički centar Osijek, Klinika za pedijatriju
Duška Markov-Glavaš
Nina Barišić
Sažetak
Vertigo is a subjective feeling of spinning or a state of loss of balance in space, often associated with nausea, headache and vomiting, uncertainty and drifting while walking. Vertigo indicates damage to the central or peripheral vestibular system. Hearing loss and tinnitus with vertigo usually indicate peripheral damage affecting the inner ear (labyrinth). The vestibulospinal system enables orientation in space, control of movement balance, stabilization and fixation of the image of objects in the eyes. Central (intracranial) damage to the vestibular system is associated with dysarthria, dysphagia, diplopia and hemiparesis. The most common causes of central damage are neurovascular, demyelinating diseases, head injuries, and brain tumors. The most common cause of central vertigo is vestibular migraine. Dizziness associated with pronounced autonomic symptoms such as vomiting, sweating, pallor and nausea point primarily to damage to the peripheral vestibular system. Benign paroxysmal vertigo (BPV) and labyrinthitis are the most common causes of peripheral vertigo and are associated with peripheral damage to the vestibular system. Acute vertigo is associated with vestibular neuritis, demyelinating
disease, stroke, CNS infection, and head trauma. Subacute and chronic vertigo appear in expansive intracranial processes of the posterior cranial fossa and in the context of toxic damage to the vestibular system. A rational diagnostic approach to a child with vertigo of peripheral and central etiology is primarily based on detailed anamnestic data and a detailed neurological status. Diagnostic algorithms/procedures and a differential diagnostic approach are proposed, which enable the rationalization of examinations in children with peripheral and central causes of vertigo.
Ključne riječi
CHILD; VERTIGO; IMBALANCE; ETIOLOGY; GUIDELINE
Hrčak ID:
300856
URI
Datum izdavanja:
17.4.2023.
Posjeta: 3.908 *