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Case Reports
. 2023 Oct 3;16(10):e254098.
doi: 10.1136/bcr-2022-254098.

Benign paroxysmal positional vertigo in a young child

Fred Chuang  1 , Matthew Corbitt  2 , Richard Tjahjono  2 , Bernard Whitfield  2   3
Affiliations
Case Reports

Benign paroxysmal positional vertigo in a young child

Fred Chuang et al. BMJ Case Rep. .

Abstract

A girl in her early childhood presented to a regional otolaryngology outpatient clinic with classic signs of benign paroxysmal positional vertigo (BPPV). She reported episodic dizziness when rolling in a supine position. She did not convey any other associated audiovestibular symptoms. A bedside Dix-Hallpike test confirmed geotropic rotational nystagmus indicative of lateral canal BPPV. Due to her young age, limited communicative abilities and concerns for more sinister underlying pathology, a complete neurological examination, MRI and pure tone audiometry were performed. After two sessions of Epley's manoeuvre, she was symptom-free. At her 3-month follow-up, the patient denied any recurrent episodes of vertigo.

Keywords: Ear, nose and throat; Emergency medicine; Neurology (drugs and medicines); Paediatrics (drugs and medicines).

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Coronal MRI of brain and internal acoustic meatus.
Figure 2
Figure 2
Axial MRI of brain.
Figure 3
Figure 3
Pure tone audiometry and tympanometry. SA, static admittance; TPP, tympanic peak pressure; ECV, external canal volume; TW, tympanic width.
See this image and copyright information in PMC

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