NEURO-OPHTHALMOLOGY AND NEUROOTOLOGY: Edited by José-Alain Sahel and Joseph FurmanVertigo and dizziness in childrenJahn, Klausa,b; Langhagen, Thyraa,c; Heinen, Floriana,c Author Information aGerman Center for Vertigo and Balance Disorders (DSGZ) bDepartment of Neurology cDepartment of Paediatric Neurology and Developmental Medicine – Dr von Hauner Children's Hospital, Klinikum Grosshadern, Ludwig-Maximilians University, Munich, Germany Correspondence to Prof Klaus Jahn, MD, German Center for Vertigo and Balance Disorders (DSGZ) and Schön Klinik Bad Aibling, University Hospital – Klinikum Grosshadern, Ludwig-Maximilians University, Marchioninistrasse 15, Munich 81377, Germany. Tel: +49 89 4400 73671; fax: +49 89 4400 76671; e-mail: [email protected] Current Opinion in Neurology: February 2015 - Volume 28 - Issue 1 - p 78-82 doi: 10.1097/WCO.0000000000000157 Buy Metrics Abstract Purpose of review Vertigo and dizziness occur with considerable frequency in childhood and adolescence. Most causes are benign and treatable. This review aims to make physicians more alert to the frequent causes of dizziness in the young. Recent findings Epidemiological data confirm that migraine-related syndromes are the most common cause of vertigo in children. Vestibular migraine and benign paroxysmal vertigo have now been defined by the International Classification of Headache Disorders. About half of the adolescents with vertigo and dizziness show psychiatric comorbidity and somatization. Vestibular paroxysmia has been described as a new entity in children that can be treated with low doses of carbamazepine. To assess vestibular deficits, video head impulses (for the semicircular canals) and vestibular-evoked myogenic potentials (for the otoliths) are increasingly being used. Summary Pediatricians and neuro-otologists should be aware of the full spectrum of causes of vertigo and dizziness in children and adolescents. Vestibular function can reliably be tested nowadays. Although treatment for the common migraine-related syndromes can be done in analogy to the treatment of migraine in general, specific approaches are required for somatoform vertigo, the most frequent diagnosis in adolescent girls. Copyright © 2015 Wolters Kluwer Health, Inc. All rights resereved.