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Case Reports: Rare disease
Benign paroxysmal positional vertigo in a young child
  1. Fred Chuang1,
  2. Matthew Corbitt1,
  3. Richard Tjahjono1 and
  4. Bernard Whitfield1,2
  1. 1Otorhinolaryngology, Cairns Base Hospital, Cairns, Queensland, Australia
  2. 2Otorhinolaryngology, Logan Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Dr Fred Chuang; fred_ch{at}live.com

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.

  • Ear, nose and throat
  • Neurology (drugs and medicines)
  • Paediatrics (drugs and medicines)
  • Emergency medicine

https://doi.org/10.1136/bcr-2022-254098

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    Footnotes

    • Twitter @fredch6

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: FC: clinical care, literature review, editing, publication process and patient consent. MC: clinical care and editing. RT: clinical care and editing. BW: clinical care, consultant and review.The following authors gave final approval of the manuscript: FC, MC, RT and BW.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.