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Vol. 24 - Num. 94

Clinical Reviews

Vertigo: beyond dizziness

Claudia Alonso Bermejoa, M.ª Almudena Santos Sánchez Reyb, M.ª del Mar Ballesteros Garcíac, Elena García-Ochoa Fernándezb, Mar López Mattiaci Mattiacid, Sandra García Barbab

aMIR-Pediatría. Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid.
bMIR-Pediatría. Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid. España.
cServicio de Pediatría. Hospital Universitario de Fuenlabrada. Fuenlabrada. Madrid. España.
dMIR-Pediatría. Hospital Universitario de Fuenlabrada,. Fuenlabrada. Madrid. España.

Correspondence: C Alonso. E-mail:

Reference of this article: Alonso Bermejo C, Santos Sánchez Rey MA, Ballesteros García MM, García-Ochoa Fernández E, López Mattiaci Mattiaci M, García Barba S. Vertigo: beyond dizziness. Rev Pediatr Aten Primaria. 2022;24:173-9.

Published in Internet: 20-06-2022 - Visits: 12548


Vertigo is defined as a sensation of spinning instability. In paediatric practice, due to the difficulty of patients in expressing their symptoms (especially the younger ones), vertigo must be contemplated in the management of a patient presenting with instability, motion sickness, recurrent vomiting or paroxysmal episodes of irritability in toddlers.

The diagnosis of vertigo is clinical, and therefore requires a thorough history-taking and full physical examination. It is important to classify vertigo as peripheral or central, as they are managed differently, as well as differentiating acute from recurrent episodes. In addition, whenever possible, the evaluation should be completed with a neurologic and hearing examination by an ear-nose-throat (ENT) specialist.

We present a series of cases of peripheral vertigo diagnosed in the emergency department, based on which we review the main characteristics and aetiologies of peripheral vertigo in the paediatric population.


Nystagmus Peripheral vertigo Vertigo



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