20.500.12556/RUL-135515 Unraveling the etiology of pediatric vertigo and dizziness a tertiary pediatric center experience Background and Objectives: Numerous authors have reported that the commonest type of vertigo in children is migraine-associated vertigo (vestibular migraine and benign paroxysmal vertigo of childhood—BPV). We aimed to provide the possible etiological background of vertigo and dizziness in Slovenian children. Materials and Methods: A retrospective case series of pediatric vertigo and dizziness children referred to the tertiary pediatric otorhinolaryngology center from 2015 to 2020. Children received a complete audiological and vestibular workup and were referred to pediatric specialists depending on the clinical presentation. Results: Of 257 children (42% male, 58% female) aged 1–17 years (M = 10.9, SD = 4.3 years) in 19.1% vertigo and dizziness were classified as central, in 12.4% as a peripheral vestibular, in 10.9% as a hemodynamic, in 5.8% as a psychological and none as visual by pediatric neurologists, otorhinolaryngologists, cardiologists, psychologists or ophthalmologists, respectively. 40.8% (20) children with central vertigo had BPV (7.8% of all children) and 8.2% (4) migrainous vertigo. In 43.6% (112 children), the etiology remained unclassified. Conclusions: After a thorough multidisciplinary workup, the etiology of vertigo and dizziness was unraveled in the majority of children referred to our tertiary otorhinolaryngology center. The most common cause was central; however, in a considerable number, the etiology remained unclassified. The latter could be attributed to the self-limiting nature of vertigo spells. Hence, a child presenting with dizziness and vertigo requires a multidisciplinary approach, in which referral to a neurologist is, in most cases, essential. Lyme neuroborreliosis adolescent child dizziness vertigo migraine disorders interdisciplinary communication headache medulloblastoma somatoform disorders lymska nevroborelioza mladostnik otrok true false true Angleški jezik Slovenski jezik Članek v reviji 2022-03-17 09:19:47 2022-03-17 09:19:49 2022-09-14 04:13:45 0000-00-00 00:00:00 2021 0 0 10 str. iss. 5, art. 475 Vol. 57 May 2021 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.9 1648-9144 10.3390/medicina57050475 66163715 RAZ_Bozanic_Urbancic_Nina_2021.pdf RAZ_Bozanic_Urbancic_Nina_2021.pdf 1 A100FB138F9336F2935F089BB42D0C49 8d1707ebf98767d8c7ab5014217492ceb130638a276a91160615fcf49bb90b22 124cc1e4-a5cd-11ec-8556-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=154629 https://www.mdpi.com/1648-9144/57/5/475 0 50b5a059-a5cc-11ec-8556-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=154628 Medicinska fakulteta 0 0 0