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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 13. no 1. March 2014  

 Original articles
Evaluating the effectiveness of vestibular system in children with impaired balance
Renata Pepaś, Małgorzata Śmiechura, Wiesław Konopka

Introduction. It is important to ascertain whether vertigo is of
the peripheral or the central origin, and whether other symptoms
occur that may suggest a systemic disease or functional
Aim. The aim of the study was to evaluate the efficiency of
the vestibular system in children with vertigo and balance
Material and methods. Study subjects comprised 14 girls and
16 boys at the age ranging from 5 to 17 years, with vertigo and
balance disorders. ENG and VNG examinations, including assessment
of spontaneous nystagmus, postural, oculomotor and
caloric tests were performed in patients of the study group.
Results. Damage to the peripheral part of the balance system
was diagnosed in 8 patients, the central type in 21, while one
patient showed complete non-excitability of the labyrinth and
bilateral congenital deafness. Static and dynamic trials were
normal in 25 patients, 3 patients showed tendency to fall down
backwards, and instability was detected in 2 patients. Normal
hearing was noted in 22 children, one had bilateral conductive
hearing loss. Six patients were diagnosed with unilateral deafness,
and one with bilateral congenital deafness.
Conclusions. Most of vertigo occurring among children was not
associated with damage to the peripheral part of the vestibular
system. Both the VNG and ENG tests are very valuable in assessing
the location of damage to the balance system. Due to the use
of modern techniques, VNG test is a better diagnostic tool.

keywords: układ równowagi, zawroty głowy, dzieci, balance system, vertigo, children

pages: from 36 to 41

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