title: Vestibular paroxysmia in children: a treatable cause of short vertigo attacks.
abstract: Vestibular paroxysmia due to neurovascular compression is a syndrome consisting of frequent short episodes of vertigo in adults that can be easily treated. Here we describe the initial presentation and follow-up of three children (one female, 12y; two males, 8y and 9y) who experienced typical, brief, vertiginous attacks several times a day. Nystagmus was observed during the episodes. Cranial magnetic resonance imaging revealed arterial compression of the eighth cranial nerve. The attacks ceased after administration of low-dose carbamazepine (2-4mg/kg daily). Vestibular paroxysmia must be considered in the differential diagnosis of children with brief vertiginous episodes.
authors.affiliation: German Center for Vertigo and Balance Disorders, Munich University Hospital, Munich, Germany; Department of Neurology, Munich University Hospital, Munich, Germany.
authors.forename: Nadine
authors.initials: N
authors.lastname: Lehnen
authors.forename: Thyra
authors.initials: T
authors.lastname: Langhagen
authors.forename: Florian
authors.initials: F
authors.lastname: Heinen
authors.forename: Doreen
authors.initials: D
authors.lastname: Huppert
authors.forename: Thomas
authors.initials: T
authors.lastname: Brandt
authors.forename: Klaus
authors.initials: K
authors.lastname: Jahn
mesh_terms: D000927:Anticonvulsants / Q000008:administration & dosage / Q000494:pharmacology*; D002220:Carbamazepine / Q000008:administration & dosage / Q000494:pharmacology*; D002648:Child; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000175:diagnosis; D009759:Nystagmus, Pathologic / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome; D014717:Vertigo / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000159:Vestibulocochlear Nerve / Q000473:pathology*; D000160:Vestibulocochlear Nerve Diseases / Q000150:complications* / Q000473:pathology
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine