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Epidemiology of Vestibular Impairments in a Pediatric Population

机译：儿科人口前庭损伤流行病学

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The purpose of this study was to report the prevalence of vestibular impairment (VI) in children (n = 2,528) referred for complete vestibular testing because of balance disorders (BD) or hearing loss (H). A VI was shown in 51.5% of the children tested (1,304/2,528). For BD (e.g., vertigo, dizziness, instability, delay in posturomotor development), VI was found in 36.5% (n = 379/1,037). The most frequent causes of BD with VI included inner ear malformation (13.5%), delay in posturomotor development (13.4%), hearing loss revealed with vertigo (3.9%), trauma (3.9%), vestibular neuritis (3.3%), meningitis (2.5%), Meniere-like syndrome (1.1%), BPPV posttrauma (1%), labyrinthitis (0.4%), and unknown etiology (19.6%). Normal responses to the complete battery of tests (n — 658, 63.5%) excluded a vestibular origin to BD, leading to other diagnoses: principally migraine (15.6%), ophthalmological disorders (15.1%), neurological disorders (including delay in posturomotor development; 14.4%), orthostatic hypotension, or somatoform dizziness (<1%). Of the children referred for hearing loss (n = 1,491), 68.5% were tested without cochlear implantation (CI; n = 1,022). In this group, 54.5% presented with VI (n = 557). This was mostly found in cytomegalovirus infection, inner ear malformation, and genetic syndromes. Profound hearing loss candidates for cochlear implants had complete bilateral vestibular loss in 20% and delay in posturomotor development, and 80% had partial or normal vestibular function and normal posturomotor development. VI was found after CI in 50% on the side of the implant (partial in 41% and complete in 9%). VI is present in 36.5% of children referred to our center for BDs and 54.5% for hearing loss. Vestibular testing permits ruling out peripheral VI and hence seeking other causes for BDs such as migraine and ophthalmological disorders and also helps lower the risk of inducing bilateral complete vestibular loss in CI protocols.
机译：本研究的目的是报告由于余额障碍（BD）或听力损失（H）提交了完全前庭检测的儿童前庭损伤（vi）的患病率（n = 2,528）。 VI显示51.5％的儿童检测（1,304 / 2,528）。对于BD（例如，眩晕，头晕，不稳定性，后尿精发育延迟），VI被发现36.5％（n = 379 / 1,037）。 BD最常见的BD导致VI包括内耳畸形（13.5％），后尿精发育延迟（13.4％），眩晕损失，眩晕（3.9％），创伤（3.9％），前庭神经炎（3.3％），脑膜炎（2.5％），更平静的综合征（1.1％），BPPV Pertrauma（1％），迷宫炎（0.4％）和未知病因（19.6％）。正常响应测试的完整电池（N - 658,63.5％）排除了前庭至BD的前院，导致其他诊断：主要是偏头痛（15.6％），眼科病症（15.1％），神经系统疾病（包括后尿精发育延迟; 14.4％），外翻低血压，或躯体血管头晕（<1％）。在没有耳蜗植入的情况下测试了68.5％的感应损失（n = 1,491），在没有耳蜗植入的情况下进行68.5％（CI; n = 1,022）。在该组中，54.5％呈现VI（n = 557）。这主要是患细胞核病毒感染，内耳畸形和遗传综合征。用于耳蜗植入物的深刻听力损失候选人在20％的损失和后尿精发育延迟患有两侧的前庭损失，80％具有部分或正常的前庭功能和正常的后尿精发育。在植入物侧的CI含量在50％后发现了VI（部分占41％并在9％完成）。 vi以36.5％的儿童出现，提到我们的BDS中心和54.5％的听力损失。前庭检测允许裁定外周VI，从而寻求其他原因，如偏头痛和眼科疾病，也有助于降低CI协议中诱导双侧完全前庭损失的风险。

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