Characteristics of Acute Nystagmus in the Pediatric Emergency Department
| Autor: | Rocco Bonfatti, Liviana Da Dalt, Umberto Raucci, Daniela Gioè, Lucia Calistri, Elisabetta Mencaroni, Pasquale Parisi, Elena Bellelli, Luca Zagaroli, Agnese Suppiej, Nicola Vanacore, Alberto Verrotti, Duccio Maria Cordelli, Antonella Palmieri, Salvatore Grosso, Elisa Poletto, Giacomo Garone, Annalisa Rossetti, Stefano Masi, Francesco La Penna, Marta Marin, Renato D'Alonzo, Paola De Liso, Mario Velardita |
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| Přispěvatelé: | Garone G., Suppiej A., Vanacore N., La Penna F., Parisi P., Calistri L., Palmieri A., Verrotti A., Poletto E., Rossetti A., Cordelli D.M., Velardita M., D'alonzo R., De Liso P., Gioe D., Marin M., Zagaroli L., Grosso S., Bonfatti R., Mencaroni E., Masi S., Bellelli E., Da Dalt L., Raucci U. |
| Rok vydání: | 2020 |
| Předmět: |
Male
Ataxia Brain Neoplasms Central Nervous System Infections Child Child Preschool Cohort Studies Cranial Nerve Diseases Demyelinating Diseases Dizziness Emergency Service Hospital Female Headache Humans Intracranial Hypertension Italy Migraine Disorders Nausea Nystagmus Pathologic Poisoning Retrospective Studies Strabismus Vertigo Vestibular Diseases Vomiting Pediatrics Nystagmus 0302 clinical medicine Migraine Disorder Retrospective Studie Epidemiology Medicine Vestibular Disease Aataxia brain neoplasms central nervous system infections child child preschool cohort studies cranial nerve diseases demyelinating diseases dizziness emergency service hospital female headache humans intracranial hypertension male migraine disorders nausea nystagmus pathologic poisoning retrospective studies strabismus vertigo vestibular diseases vomiting Emergency Service biology Dizzine Demyelinating Disease medicine.symptom Human Cohort study medicine.medical_specialty Socio-culturale Central Nervous System Infection Brain Neoplasm Hospital 03 medical and health sciences Ataxia Brain Neoplasms Central Nervous System Infections Child Cranial Nerve Diseases Demyelinating Diseases Dizziness Headache Intracranial Hypertension Nausea nystagmus Strabismu 030225 pediatrics Preschool Cranial Nerve Disease Pathologic business.industry Retrospective cohort study biology.organism_classification medicine.disease Migraine Pediatrics Perinatology and Child Health Cohort Studie business |
| Zdroj: | Pediatrics. 146(2) |
| ISSN: | 1098-4275 |
| Popis: | OBJECTIVES: Acute nystagmus (AN) is an uncommon neurologic sign in children presenting to pediatric emergency departments. We described the epidemiology, clinical features, and underlying causes of AN in a large cohort of children, aiming at identifying features associated with higher risk of severe underlying urgent conditions (UCs). METHODS: Clinical records of all patients aged 0 to 18 years presenting for AN to the pediatric emergency departments of 9 Italian hospitals in an 8-year period were retrospectively reviewed. Clinical and demographic features and the underlying causes were analyzed. A logistic regression model was applied to detect predictive variables associated with a higher risk of UCs. RESULTS: A total of 206 patients with AN were included (male-to-female ratio: 1.01; mean age: 8 years 11 months). The most frequently associated symptoms were headache (43.2%) and vertigo (42.2%). Ataxia (17.5%) and strabismus (13.1%) were the most common neurologic signs. Migraine (25.7%) and vestibular disorders (14.1%) were the most common causes of AN. Idiopathic infantile nystagmus was the most common cause in infants CONCLUSIONS: AN should be considered an alarming finding in children given the risk of severe UCs. Cranial nerve palsy, ataxia, and strabismus should be considered red flags during the assessment of a child with AN. |
| Databáze: | OpenAIRE |
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