Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients

(1) Background: To assess the prevalence and frequency distribution of balance disorders in children and adolescents to delineate the planning of a targeted clinical and instrumental diagnostic work-up; (2) Methods: Retrospective analysis of the clinical documentation of patients under 18 years suff...

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Autores principales: Cristiano Balzanelli, Daniele Spataro, Luca Oscar Redaelli de Zinis
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f7c65e88713a494c813c3db3a9d3f85b
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spelling oai:doaj.org-article:f7c65e88713a494c813c3db3a9d3f85b2021-11-25T17:14:55ZPrevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients10.3390/children81110562227-9067https://doaj.org/article/f7c65e88713a494c813c3db3a9d3f85b2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1056https://doaj.org/toc/2227-9067(1) Background: To assess the prevalence and frequency distribution of balance disorders in children and adolescents to delineate the planning of a targeted clinical and instrumental diagnostic work-up; (2) Methods: Retrospective analysis of the clinical documentation of patients under 18 years suffering from balance disorders from 2010 to 2019. Detailed collection of clinical history, accurate clinical examination, including both nystagmus and vestibulospinal signs examinations, and specific instrumental testing were the basis of the diagnostic process. (3) Results: A total of 472 participants were included in the study. Vestibular loss (26.1%) was the most frequent cause of vertigo in children, followed by vestibular migraine (21.2%) and benign paroxysmal positional vertigo (10.2%). In 1.1% of patients, the cause of vertigo remained undefined; (4) Conclusions: The diagnostic process applied was effective in understanding the cause of balance disorders in most cases and prevents more complex and expensive investigations reserved for only a few selected cases.Cristiano BalzanelliDaniele SpataroLuca Oscar Redaelli de ZinisMDPI AGarticlechildadolescentvertigodizzinessdifferential diagnosisPediatricsRJ1-570ENChildren, Vol 8, Iss 1056, p 1056 (2021)
institution DOAJ
collection DOAJ
language EN
topic child
adolescent
vertigo
dizziness
differential diagnosis
Pediatrics
RJ1-570
spellingShingle child
adolescent
vertigo
dizziness
differential diagnosis
Pediatrics
RJ1-570
Cristiano Balzanelli
Daniele Spataro
Luca Oscar Redaelli de Zinis
Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
description (1) Background: To assess the prevalence and frequency distribution of balance disorders in children and adolescents to delineate the planning of a targeted clinical and instrumental diagnostic work-up; (2) Methods: Retrospective analysis of the clinical documentation of patients under 18 years suffering from balance disorders from 2010 to 2019. Detailed collection of clinical history, accurate clinical examination, including both nystagmus and vestibulospinal signs examinations, and specific instrumental testing were the basis of the diagnostic process. (3) Results: A total of 472 participants were included in the study. Vestibular loss (26.1%) was the most frequent cause of vertigo in children, followed by vestibular migraine (21.2%) and benign paroxysmal positional vertigo (10.2%). In 1.1% of patients, the cause of vertigo remained undefined; (4) Conclusions: The diagnostic process applied was effective in understanding the cause of balance disorders in most cases and prevents more complex and expensive investigations reserved for only a few selected cases.
format article
author Cristiano Balzanelli
Daniele Spataro
Luca Oscar Redaelli de Zinis
author_facet Cristiano Balzanelli
Daniele Spataro
Luca Oscar Redaelli de Zinis
author_sort Cristiano Balzanelli
title Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
title_short Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
title_full Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
title_fullStr Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
title_full_unstemmed Prevalence of Pediatric and Adolescent Balance Disorders: Analysis of a Mono-Institutional Series of 472 Patients
title_sort prevalence of pediatric and adolescent balance disorders: analysis of a mono-institutional series of 472 patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f7c65e88713a494c813c3db3a9d3f85b
work_keys_str_mv AT cristianobalzanelli prevalenceofpediatricandadolescentbalancedisordersanalysisofamonoinstitutionalseriesof472patients
AT danielespataro prevalenceofpediatricandadolescentbalancedisordersanalysisofamonoinstitutionalseriesof472patients
AT lucaoscarredaellidezinis prevalenceofpediatricandadolescentbalancedisordersanalysisofamonoinstitutionalseriesof472patients
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