A Complex Presentation of Vestibular Paroxysmia in an Adolescent With Wolff- Parkinson-White Syndrome

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Pediatric neurology Pub Date : 2024-08-22 DOI:10.1016/j.pediatrneurol.2024.08.010

Manuel Nunez MD , Michal T. Ruprecht BS , Alex S. Aguirre MD , Alcy Torres MD

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引用次数: 0

Abstract

Vestibular paroxysmia is an episodic vestibular disorder resulting from compression or irritation of the eighth cranial nerve. This disorder is a rare and difficult diagnosis in children. We report the case of a 16-year-old adolescent male with a history of syncope and coronavirus disease 2019 infection four months prior who presented with intermittent episodes of vertigo and unsteadiness several times a week. These events started abruptly, and he appeared frozen. However, he remained conscious and was able to answer questions. He subsequently resumed normal activity in less than a minute without seizure stigmata or postictal period. His general and neurological examinations were unremarkable. Extensive diagnostic evaluation yielded negative results, except for an electrocardiogram consistent with Wolff-Parkinson-White syndrome. However, his symptoms persisted after cardiac ablation, suggesting they were not related to this arrhythmia. Following unsuccessful trials with various medications, his symptoms resolved with carbamazepine. Early recognition and appropriate treatment of this condition could substantially improve the quality of life for affected individuals.

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患有沃尔夫-帕金森-怀特综合征的青少年前庭阵痛的复杂表现。

前庭阵痛是由于第八颅神经受到压迫或刺激而引起的发作性前庭障碍。这种疾病在儿童中较为罕见，诊断困难。我们报告了一例 16 岁的青少年男性病例，他在 4 个月前有晕厥和 2019 年冠状病毒感染病史，每周数次出现间歇性眩晕和站立不稳。这些症状开始时很突然，他看起来浑身僵硬。不过，他仍有意识，并能回答问题。随后，他在不到一分钟的时间内恢复了正常活动，没有癫痫发作的征兆或发作后遗症。他的全身检查和神经系统检查均无异常。除了心电图与沃尔夫-帕金森-怀特综合征一致外，其他诊断评估结果均为阴性。然而，他的症状在心脏消融术后仍然存在，这表明这些症状与这种心律失常无关。在尝试多种药物治疗未果后，他服用卡马西平后症状得到缓解。及早发现并适当治疗这种疾病可以大大改善患者的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.