The diagnosis and treatment of pediatric vertigo diseases: interpretation of the Bárány Society's consensus document
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Abstract: The diagnostic criteria for "Vestibular Migraine of Childhood", "Probable Vestibular Migraine of Childhood" and "Recurrent Vertigo of Childhood" is put forth by the Committee for the Classification of Vestibular Disorders of the Bárány Society and the Migraine Classification subgroup of the International Headache Society at the beginning of 2021. It provides directions for the diagnosis and treatment of these syndromes to international community of pediatricians, otolaryngologists, neurologists, neurosurgeons, neuro-otologists physiotherapists, neurophysiologists, and audiologists. The paper concludes the current situation and research progress of diagnosis and treatment of children vertigo diseases.
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Key words:
- child /
- vertigo /
- dizziness /
- vestibular migraine
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表 1 2021年与2013年诊断标准共识的比较
儿童前庭性偏头痛
(2021年)可能的儿童前庭性
偏头痛(2021年)儿童复发性眩晕
(2021年)前庭性偏头痛
(2013年)儿童良性阵发性眩晕
(2013年)名称 新 新 新 已存在 已存在 年龄 < 18岁 < 18岁 < 18岁 无限制 儿童期 症状持续时间 5 min~72 h 5 min~72 h 1 min~72 h 5 min~72 h 数分钟~数小时 发作次数 至少5次 至少3次 至少3次 至少5次 至少5次 与偏头痛的关系 有偏头痛病史 有偏头痛特征 无偏头痛病史 有偏头痛病史 良性阵发性眩晕为
偏头痛的先兆查体及实验室检查 无特异 无特异 无特异 无特异 间歇期正常 -
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