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Fulltext Vestibular migraine: a manifestation of long COVID syndrome in children

Saniasiaya J

BMJ Case Rep, 2023 May 22;16(5).

PMID: 37217233 DOI: 10.1136/bcr-2023-255734

Long COVID-19 syndrome has been reported among children and adolescents following COVID-19 recovery. Among them, notable symptoms include myalgia, insomnia, loss of smell and headache. Yet, novel manifestations are being discovered daily. Herein, we report two cases of vestibular migraine post-COVID-19 involving two children who presented with vestibular migraine symptoms following COVID-19 infection and their management. Children post-COVID-19 should be thoroughly evaluated for vestibular migraine symptoms so they can be managed promptly. This is the first article to report vestibular migraine as a manifestation of long COVID-19 syndrome.

Matched MeSH terms: Vertigo/etiology

A study of the aetiology of vertigo in Malaysia

Ponniah RD

Med J Malaysia, 1977 Sep;32(1):41-4.

PMID: 609342

Matched MeSH terms: Vertigo/etiology*

Characteristics and diagnostic approach of vestibular migraine in children and adolescents: A systematic review

Saniasiaya J, Salim R

Auris Nasus Larynx, 2023 Apr;50(2):218-227.

PMID: 35843849 DOI: 10.1016/j.anl.2022.06.007

OBJECTIVE: Vestibular migraine (VM) is the most common cause of episodic vertigo afflicts 1% of the general population. The complexity of VM is owing to the migrainous, and vestibular components and much knowledge have been gained in recent years on VM in the adult population. Akin to that, numerous studies focusing on VM in children and adolescent has emerged. We reviewed the literature to understand the characteristics and diagnostic approach of VM in children and adolescents.

METHODS: A literature search was conducted over a period of one month (April 2022).

RESULTS: 16 articles were selected based on our objective and selection criteria. A total of patients was included, with a median age of 10.9 years. 11 studies diagnosed VM based on diagnostic criteria. Caloric test and electro/videonystagmography are the most favoured investigation used (50%). Imaging was performed in 56.2% of included studies.

CONCLUSION: Deciphering the ideal diagnostic approach for VM is prudent to ensure children and adolescents suffering from VM are treated earlier. VM can be diagnosed using the established diagnostic criteria, which requires thorough and meticulous history taking. The available oto-neurological examination aims to exclude other disorders as its significance in diagnosing VM is still debatable.

Matched MeSH terms: Vertigo/etiology

Electronystagmography (ENG.) as an aid to diagnosis of intracranial lesions

Hong CY, Ponniah RD

Med J Malaysia, 1976 Mar;30(3):195-9.

PMID: 958053

Matched MeSH terms: Vertigo/etiology

Etiological factors and management of vertigo - a retrospective study

Shyam Sudhakar S

Med J Malaysia, 2025 Jan;80(Suppl 1):59-64.

PMID: 39773944

INTRODUCTION: Vertigo and dizziness are symptoms of various underlying conditions, ranging from benign to severe, affecting up to 40% of adults. Understanding the etiological factors and demographic characteristics associated with these symptoms is crucial for improving diagnostic accuracy and management. This study aims to identify the etiological factors contributing to vertigo and dizziness in a clinical setting and assess the effectiveness of treatment strategies.

MATERIALS AND METHODS: Retrospective cohort study conducted at Department of ENT and Head & Neck Surgery, Saveetha Medical College Hospital, Thandalam, Chennai, Tamil Nadu, India from September 2022 to March 2024. We included patients presenting with vertigo or dizziness, excluding those with non-vestibular dizziness or incomplete medical records. We analysed demographic data, medical history, and clinical findings from patient records. Data analysis was performed. Continuous variables were compared using independent sample t-tests and categorical variables using chi-square tests.

RESULTS: The study included 268 patients, predominantly females (57.8%) and individuals aged 40-50 years (29.9%). Benign Paroxysmal Positional Vertigo (BPPV) was the most common etiological factor (41.0%), followed by orthostatic dysregulation (17.2%) and vestibular peripheral dysfunction (VPD) (16.0%). Clinical presentations and outcomes varied with the underlying etiology. Overall, 91.0% of the patients showed improvement following treatment, with 7.1% achieving full recovery.

CONCLUSION: This study highlights the complexity of vertigo and dizziness, which are influenced by various factors and demographics. This emphasizes the importance of tailored management strategies and a patient-centered, multidisciplinary approach, emphasizing customized treatments to improve patient outcomes.

Matched MeSH terms: Benign Paroxysmal Positional Vertigo/etiology

Fulltext A review of the management of 107 dizzy patients at the university hospital

Krishnan G

Med J Malaysia, 1994 Mar;49(1):44-8.

PMID: 8057990

The common investigations done were pure tone audiometry, electronystagmography, X-ray of the internal auditory meatus, CT-scan of the internal auditory meatus and X-ray of the cervical spine. After the examinations and investigations only 52 patients out of the 107 could be given any diagnosis. The most common diagnosis for the vertigo was Meniere's disease.

Matched MeSH terms: Vertigo/etiology*

Fulltext EEG based evaluation of stereoscopic 3D displays for viewer discomfort

Malik AS, Khairuddin RN, Amin HU, Smith ML, Kamel N, Abdullah JM, et al.

Biomed Eng Online, 2015;14:21.

PMID: 25886584 DOI: 10.1186/s12938-015-0006-8

Consumer preference is rapidly changing from 2D to 3D movies due to the sensational effects of 3D scenes, like those in Avatar and The Hobbit. Two 3D viewing technologies are available: active shutter glasses and passive polarized glasses. However, there are consistent reports of discomfort while viewing in 3D mode where the discomfort may refer to dizziness, headaches, nausea or simply not being able to see in 3D continuously.

Matched MeSH terms: Vertigo/etiology

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