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Peripheral
vestibular problems are rarely reported in children and adolescents. In
this study, we present 34 cases with a diagnosis of peripheral
vestibular disease. The subjects having a detailed analysis of personal
and family histories were evaluated with neurotological and neurological
examinations. Pure tone audiometry, tympanometry, electronystagmography
(ENG) and videonystagmography (VNG) tests were applied. Thirty (88%)
cases had motion sickness, 12 (35%) cases had migraine attacks and 29
(85%) cases had first degree relatives with migraine and 22 (65%) cases
had first degree relatives with a history of dizziness. Two kinds of
nystagmus were detected due to ENG and VNG: spontaneous vestibular
nystagmus (41%) and positional vestibular nystagmus (59%). Bilateral
sensorineural hearing loss (SNHL) of low frequencies were detected in 4
(12%) cases. The pure tone averages of 30 (88%) cases were between
normal limits but, low frequencies were 10 dB lower than the high
frequencies bilaterally. Decreased unilateral caloric response was
detected in 8 cases (23.5%). As a conclusion, the subjects with an
associated migraine may solely have spontaneous vestibular nystagmus;
these attacks may present as dizziness attacks with spontaneous
vestibular nystagmus, as well, may present as typical vestibular attacks
with benign paroxysmal positional vertigo or fluctuating SNHL.
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