Pediatric vestibular testing: Tolerability of test components in children.
Int J Pediatr Otorhinolaryngol
; 113: 29-33, 2018 Oct.
Article
en En
| MEDLINE
| ID: mdl-30174003
ABSTRACT
INTRODUCTION:
Objective of the study is to define rates of successful completion of components of pediatric vestibular testing (VT).METHODS:
Retrospective review of VT performed on patients less than 18 years of age from 2004 to 2015.RESULTS:
188 pediatric patients (mean age 13.9⯱â¯3.56 years old, range 2-17 years) underwent testing. Thirty-five (18.6%) had abnormal test results. Pediatric patients unable to complete all aspects of VT could still complete an average of 7.9⯱â¯4.0 of 12 test components. The optokinetic tracking test was the most commonly omitted component of the vestibular tests. In a multivariate analysis, failure to perform Nylen-Barany positional testing (χ2 27.5, pâ¯<â¯0.0001) or Dix-Hallpike (5.66, pâ¯=â¯0.0174) testing was associated with inability to obtain final diagnosis on VT.CONCLUSIONS:
Interpretable VT may be obtained in most children, even in those that do not tolerate the full testing protocol. Spontaneous and gaze-evoked nystagmus testing maybe considered as part of initial testing protocol before attempting less well-tolerated components such as bithermal calorics or components that require VNG goggles.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pruebas de Función Vestibular
/
Aceptación de la Atención de Salud
/
Enfermedades Vestibulares
Tipo de estudio:
Guideline
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
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Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
Año:
2018
Tipo del documento:
Article
País de afiliación:
Estados Unidos