BENIGN PAROXYSMAL VERTIGO OF CHILDHOOD (BPVC)

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Benign Paroxysmal Vertigo of Childhood (BPVC)** is a common cause of vertigo in young children, usually between the ages of 2 and 12. Although the name may sound alarming, it is generally harmless and tends to resolve on its own as the child grows older.there is short lived vertigo of about 30-60seconds ,but it’s quite different from BPPV which precipitated by position,in BPVC not related to any precipitating factors.

Key Features:
1. **Sudden, brief episodes**: The child may experience sudden dizziness or vertigo that lasts for a few minutes to an hour.
2. **No loss of consciousness**: The child remains conscious during the episode, though they may appear unsteady or frightened.
3. **Spontaneous recovery**: The episodes resolve on their own, and the child usually returns to normal after a short time.
4. **Associated symptoms**: The child may have nausea, vomiting, pallor, sweating, or nystagmus (rapid eye movements). There is typically no hearing loss or tinnitus.
5. **Triggers**: Episodes can occur without warning and may not be triggered by any specific activity.
6. **Normal neurologic exam**: Children with BPVC typically have a normal neurological exam between episodes.

Diagnosis:
– BPVC is diagnosed based on clinical history and by ruling out other causes of vertigo, such as inner ear infections or neurological conditions.
– There is no specific test for BPVC, but imaging (like an MRI) or vestibular function tests may be done to exclude other conditions.
Creatinine kinase level is elevated,which may be helpful for diagnosis
Management:
– **Reassurance**: Parents are often reassured that the condition is benign and will likely improve over time.
– **Symptomatic treatment**: Medications like anti-nausea drugs may be used to relieve symptoms if necessary during episodes, but treatment is often not required.

Prognosis:
Most children outgrow BPVC by adolescence, and it is often considered a precursor to migraine. Many children who experience BPVC develop migraines later in life.

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