Prevalence of vestibular and balance disorders in children.
OBJECTIVE
Determine the prevalence of vestibular and balance disorders in children, rate of complaints of imbalance, and odds ratio of related diagnoses.


METHODS
Retrospective review of pediatric health system during a 4-year period for International Classification of Diseases, 9th Revision, codes related to balance disorders. Identified records were searched for chief complaints related to balance and for codes of related otologic and neuro-otologic diagnoses.


RESULTS
A total of 561,151 distinct patient encounters were found. Unspecified dizziness was diagnosed in 2,283 patients (0.4%). Also, 22% presented with balance complaints. Peripheral disorders were diagnosed in 159, and central disturbances were diagnosed in 109 (prevalence < 0.0002%). Cumulative prevalence of diagnoses related to balance was 0.45% (2,546/561,151). Of all patients, 5,793 (1.03%) had chief complaint related to balance, and 2,076 (35.84%) were also diagnosed with vestibular disorder. Moreover, 38% with peripheral disturbances and 21% with central disturbances had balance complaints. Odds ratio of syncope was 21× higher than the general pediatric population in patients with unspecified dizziness, and sensorineural hearing loss was 43 times higher in those with peripheral vestibular disorders. In patients with central disorders headache was 16× higher (p < 0.05).


CONCLUSIONS
The prevalence of balance disorders in children is low. Children diagnosed with these disorders typically do not present with chief complaint related to balance. Significant associations exist between sensorineural hearing loss, syncope, and headache in children diagnosed with balance disorders.
O'Reilly
Robert C
RC
Department of Otolaryngology, Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA. roreilly@nemours.org
Morlet
Thierry
T
Nicholas
Brian D
BD
Josephson
Gary
G
Horlbeck
Drew
D
Lundy
Larry
L
Mercado
Arnel
A
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004244:Dizziness / Q000453:epidemiology; D005260:Female; D006261:Headache / Q000453:epidemiology; D006319:Hearing Loss, Sensorineural / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D038801:International Classification of Diseases; D008297:Male; D009041:Motion Sickness / Q000453:epidemiology; D016017:Odds Ratio; D004856:Postural Balance; D012189:Retrospective Studies; D013575:Syncope / Q000150:complications / Q000453:epidemiology; D014717:Vertigo / Q000453:epidemiology; D015837:Vestibular Diseases / Q000150:complications / Q000453:epidemiology*; D014724:Vestibular Function Tests