How does child neck ache giddy return a responsibility?

summary

Dizziness or vertigo is also common in children. It is necessary to have a systematic and comprehensive physical examination of the nervous system. When the diseases of the nervous system are excluded, it is also necessary to determine whether they are caused by vestibular sources. So let's talk about the children's neck pain and dizziness?

How does child neck ache giddy return a responsibility?

First, the location of migraine in children is usually limited to the forehead or periorbital area, the pain time is usually less than 2 hours, and the nature of the pain is generally not common pulsatile pain in adults. There are two forms of vertigo in migraine, one is that headache and vertigo exist at the same time, the other is that vertigo is the only form of migraine. When children with migraine have vertigo or dizziness, headache symptoms tend to be alleviated, and some even show only simple vertigo or dizziness without headache symptoms.

Second: Mechanism: 20% of children with migraine have dizziness or vertigo. The possible mechanism is asymmetric stimulation of vestibular nuclei in bilateral brainstem or lack of Ca2 + channels shared by brain tissue and inner ear.

Third: vestibular function test can provide valuable information for the differential diagnosis of migraine children, especially those with dizziness or vertigo. Cold and hot test can find vestibular dysfunction, including spontaneous nystagmus, shaking head induced nystagmus, vibration induced nystagmus, lack of vestibular evoked myogenic potential.

matters needing attention

There are many causes of dizziness or vertigo in children. If you want to make a definite diagnosis, you need to collect a complete medical history, conduct a systematic and comprehensive physical examination of the nervous system and ear examination to determine whether it is the source of vestibule. If you exclude the diseases of the nervous system, you need to conduct a quantitative vestibular function examination to determine whether it is peripheral vestibular dysfunction or central vestibular dysfunction.