Evidence map›Paper›PMID 25674076›Full record

ArticleFrontiers in neurology2014

Vestibular migraine in children and adolescents: clinical findings and laboratory tests.

Thyra Langhagen, Nicole Lehrer, Ingo Borggraefe, Florian Heinen, Klaus Jahn

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Guideline
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  5. Validity of Italian adaptation of the Vanderbilt Paediatric Dizziness Handicap Inventory.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
    Article
  6. Altered functional activity in the right superior temporal gyrus in patients with definite vestibular migraine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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  16. [The diagnosis and treatment of pediatric vertigo diseases: interpretation of the Bárány Society's consensus document].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Article
  17. Vestibular Syndromes in Childhood and Adolescence.International archives of otorhinolaryngology · 2020
    Article
  18. [Analysis of clinical features of vestibular migraine].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020
    Article
  19. A case-control study of visually evoked postural responses in childhood with primary headaches.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Thyra LanghagenGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich , Munich , Germany ; Department of Pediatric Neurology and Developmental Medicine, Ludwig-Maximilians-University of Munich , Munich , Germany.
Nicole LehrerGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich , Munich , Germany.
Ingo BorggraefeGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich , Munich , Germany ; Department of Pediatric Neurology and Developmental Medicine, Ludwig-Maximilians-University of Munich , Munich , Germany.
Florian HeinenGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich , Munich , Germany ; Department of Pediatric Neurology and Developmental Medicine, Ludwig-Maximilians-University of Munich , Munich , Germany.
Klaus JahnGerman Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich , Munich , Germany ; Schön Klinik Bad Aibling , Bad Aibling , Germany.
Ludwig-Maximilians-Universität München · DESchön Klinik Bad Aibling · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVestibular migraine (VM) is the most common cause of episodic vertigo in children. We summarize the clinical findings and laboratory test results in a cohort of children and adolescents with VM. We discuss the limitations of current classification criteria for dizzy children.

methodsA retrospective chart analysis was performed on 118 children with migraine related vertigo at a tertiary care center. Patients were grouped in the following categories: (1) definite vestibular migraine (dVM); (2) probable vestibular migraine (pVM); (3) suspected vestibular migraine (sVM); (4) benign paroxysmal vertigo (BPV); and (5) migraine with/without aura (oM) plus vertigo/dizziness according to the International Classification of Headache Disorders, 3rd edition (beta version).

resultsThe mean age of all patients was 12 ± 3 years (range 3-18 years, 70 females). 36 patients (30%) fulfilled criteria for dVM, 33 (28%) for pVM, 34 (29%) for sVM, 7 (6%) for BPV, and 8 (7%) for oM. Somatoform vertigo (SV) co-occurred in 27% of patients. Episodic syndromes were reported in 8%; the family history of migraine was positive in 65%. Mild central ocular motor signs were found in 24% (most frequently horizontal saccadic pursuit). Laboratory tests showed that about 20% had pathological function of the horizontal vestibulo-ocular reflex, and almost 50% had abnormal postural sway patterns.

conclusionPatients with definite, probable, and suspected VM do not differ in the frequency of ocular motor, vestibular, or postural abnormalities. VM is the best explanation for their symptoms. It is essential to establish diagnostic criteria in clinical studies. In clinical practice, however, the most reasonable diagnosis should be made in order to begin treatment. Such a procedure also minimizes the fear of the parents and children, reduces the need to interrupt leisure time and school activities, and prevents the development of SV.

Indexed as

migraine-related vertigoocular motor signssomatoform vertigovestibular migraine

Identifiers

PMID25674076
PMCPMC4306301
OpenAlexW1977717854

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.