Migraña vestibular en la infancia. Una actualización
Resumen Introducción y objetivo: La asociación de síntomas vestibulares en los pacientes con migraña es más frecuente que en la población general. En la infancia, una de las causas de mareo más habituales, es la migraña vestibular, que por su variedad de síntomas es por lo general objeto de estudio de especialidades varias. El objetivo de este artículo es realizar una revisión bibliográfica que nos permita familiarizarnos con dicha patología. Método: Se realizó una revisión bibliográfica de los artículos publicados en las principales bases de datos, seleccionando los artículos de mayor relevancia según tipo de estudio y año de publicación. Resultados: La migraña vestibular es un diagnóstico para considerar en la evaluación del paciente pediátrico, dada su prevalencia y el espectro de diagnósticos diferenciales a los que pertenece. Discusión: La migraña vestibular en la infancia tiene una prevalencia desconocida y se define por la aparición de cefalea de características migrañosas, acompañado de síntomas vestibulares asociados, antes, durante o después de la crisis de migraña. Su diagnóstico se realiza mediante los nuevos criterios diagnósticos publicados por la ICVD (International Classification of Vestibular Disorders) en 2021 y no requiere de pruebas complementarias para su diagnóstico. Hasta el momento, no tiene un tratamiento específico, y el existente se basa en el control de los síntomas de la crisis de migraña. Conclusiones: Una de las causas más frecuentes de mareo en niños, es la migraña vestibular, la que, a partir de 2021, cuenta con unos criterios diagnósticos propios, junto a un espectro de enfermedades con las que debe hacerse un diagnóstico diferencial. A pesar de los estudios realizados, no se cuenta con un tratamiento estandarizado para esta patología.
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Lee JD, Kim CH, Hong SM, Kim SH, Suh MW, Kim MB, et al. Prevalence of vestibular and balance disorders in children and adolescents according to age: A multi-center study. Int J Pediatr Otorhinolaryngol. 2017;94:36-9.
Fancello V, Palma S, Monzani D, Pelucchi S, Genovese E, Ciorba A. Vertigo and Dizziness in Children: An Update. Children. 2021;8(11):1025.
Basser LS. Benign paroxysmal vertigo of childhood: a variety of vestibular neuronitis. Brain. 1964;87(1):141-52.
Brodsky JR, Cusick BA, Zhou G. Evaluation and management of vestibular migraine in children: Experience from a pediatric vestibular clinic. Eur J Paediatr Neurol. 2016;20(1):85-92.
Batuecas-Caletrío Á, Martín-Sánchez V, Cordero-Civantos C, Guardado-Sánchez L, Marcos MR, Fabián AH, et al. Is Benign Paroxysmal Vertigo of Childhood a migraine precursor? Eur J Paediatr Neurol. 2013;17(4):397-400.
Van De Berg R, Widdershoven J, Bisdorff A, Evers S, Wiener-Vacher S, Cushing SL, et al. Vestibular migraine and recurrent vertigo of childhood: Diagnostic criteria consensus document of the Classification Committee of Vestibular Disorders of the Bárány Society and the International Headache Society. J Vestib Res. 2021;31(1):1-9.
Huppert D, Brandt T. Descriptions of vestibular migraine and Menière’s disease in Greek and Chinese antiquity. Cephalalgia. 2017;37(4):385-90.
Kayan A, Hood JD. Neuro-otological manifestations of migraine. Brain. 1984;107(4):1123-42.
Langhagen T, Landgraf MN, Huppert D, Heinen F, Jahn K. Vestibular Migraine in Children and Adolescents. Curr Pain Headache Rep. 2016;20(12):67.
Dieterich M, Obermann M, Celebisoy N. Vestibular migraine: the most frequent entity of episodic vertigo. J Neurol. 2016;263(S1):82-9.
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
Davitt M, Delvecchio MT, Aronoff SC. The Differential Diagnosis of Vertigo in Children: A Systematic Review of 2726 Cases. Pediatr Emerg Care. 2020;36(8):368-371.
Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M. Prevalence and diagnosis of vestibular disorders in children: A review. Int J Pediatr Otorhinolaryngol. 2014;78(5):718-24.
Lima AF, Moreira FC, Menezes AS, Costa IE, Azevedo C, Vilarinho S, et al. Patologia Vestibular em Idade Pediátrica: Análise Retrospetiva e Revisão da Literatura. Acta Médica Port. 2021;34(6):428-34.
Lagman-Bartolome AM, Lay C. Pediatric Migraine Variants: A Review of Epidemiology, Diagnosis, Treatment, and Outcome. Curr Neurol Neurosci Rep. 2015;15(34)
Casani AP, Dallan I, Navari E, Sellari Franceschini S, Cerchiai N. Vertigo in childhood: proposal for a diagnostic algorithm based upon clinical experience. Acta Otorhinolaryngol Ital Organo Uff Della Soc Ital Otorinolaringol E Chir Cerv-facc. 2015;35(3):180-5.
Chakravarty A, Mukherjee A, Roy D. Migraine pain location: how do children differ from adults? J Headache Pain. 2008;9(6):375-9.
Marcelli V, Furia T, Marciano E. Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study. Headache J Head Face Pain. 2010;50(1):71-6.
Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: Diagnostic criteria. J Vestib Res. 2012;22(4):167-72.
Zhang Q, Wu Q, Chen J, Wang X, Zhang Y, Liu S, et al. Characteristics of vestibular migraine, probable vestibular migraine, and recurrent vertigo of childhood in caloric and video head impulse tests. Front Neurol. 2022;13:1050282.
Zhang F, Shen J, Zhu Q, Wang L, Ma X, He B, et al. Evaluating children with vestibular migraine through vestibular test battery: A cross-sectional investigation. Front Neurol. 31 de octubre de 2022;13:997217.
O’Reilly R, Morlet T, Pazuniak M, Greywood J, Levi J. Vestibular and balance testing in childhood migraine. The Laryngoscope. 2012;122(S4):S93-4.
Brodsky JR, Lipson S, Bhattacharyya N. Prevalence of Pediatric Dizziness and Imbalance in the United States. Otolaryngol Neck Surg. 2020;162(2):241-7.
Jahn K, Langhagen T, Schroeder AS, Heinen F. Vertigo and Dizziness in Childhood − Update on Diagnosis and Treatment. Neuropediatrics. 2011;42(04):129-34.
Dunker K, Schnabel L, Grill E, Filippopulos FM, Huppert D. Recurrent Vertigo of Childhood: Clinical features and prognosis. Front Neurol. 2022;13:1022395.
Álvarez N, Acero AG, Diéguez IM. Protocolos diagnósticos y terapéuticos de Neurología Pediátrica. Asociación Española de Pediatría. Cefalea en el niño y el adolescente. 2022;1:115-124
Damen L, Bruijn J, Koes B, Berger M, Passchier J, Verhagen A. Prophylactic Treatment of Migraine in Children. Part 1. A Systematic Review of non-Pharmacological Trials. Cephalalgia. 2006;26(4):373-83.
Barbanti P, Grazzi L, Egeo G. Pharmacotherapy for acute migraines in children and adolescents. Expert Opin Pharmacother. 2019;20(4):455-63.
Oskoui M, Pringsheim T, Holler-Managan Y, Potrebic S, Billinghurst L, Gloss D, et al. Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487-99.
Richer L, Billinghurst L, Linsdell MA, Russell K, Vandermeer B, Crumley ET, et al. Drugs for the acute treatment of migraine in children and adolescents. Cochrane Pain, Palliative and Supportive Care Group. Cochrane Database Syst Rev [Internet]. 2016 [citado 7 de julio de 2023];2016(4). Disponible en: http://doi.wiley.com/10.1002/14651858.CD005220.pub2
Webster KE, Dor A, Galbraith K, Haj Kassem L, Harrington-Benton NA, Judd O, et al. Pharmacological interventions for acute attacks of vestibular migraine. Cochrane ENT Group, editor. Cochrane Database Syst Rev [Internet]. 2023 [citado 15 de julio de 2023];2023(4). Disponible en: http://doi.wiley.com/10.1002/14651858.CD015322.pub2
Johnson A, Bickel J, Lebel A. Pediatric Migraine Prescription Patterns at a Large Academic Hospital. Pediatr Neurol. 2014;51(5):706-12.
Locher C, Kossowsky J, Koechlin H, Lam TL, Barthel J, Berde CB, et al. Efficacy, Safety, and Acceptability of Pharmacologic Treatments for Pediatric Migraine Prophylaxis: A Systematic Review and Network Meta-analysis. JAMA Pediatr. 2020;174(4):341.
Hershey AD, Powers SW, Vockell ALB, LeCates S, Kabbouche MA, Maynard MK. PedMIDAS: Development of a questionnaire to assess disability of migraines in children. Neurology. 2001;57(11):2034-9.
Ralli G, Atturo F, De Filippis C. Idiopathic benign paroxysmal vertigo in children, a migraine precursor. Int J Pediatr Otorhinolaryngol. diciembre de 2009;73:S16-8.
Balatsouras DG, Kaberos A, Assimakopoulos D, Katotomichelakis M, Economou NC, Korres SG. Etiology of vertigo in children. Int J Pediatr Otorhinolaryngol. 2007;71(3):487-94.
Li X, Liu Y, Lyu Y, Li Y, Jian H, Li X, et al. Sensory organization of balance control in children with vestibular migraine and recurrent vertigo of childhood. Front Neurol. 2022;13:970610.
Fancello V, Palma S, Monzani D, Pelucchi S, Genovese E, Ciorba A. Vertigo and Dizziness in Children: An Update. Children. 2021;8(11):1025.
Basser LS. Benign paroxysmal vertigo of childhood: a variety of vestibular neuronitis. Brain. 1964;87(1):141-52.
Brodsky JR, Cusick BA, Zhou G. Evaluation and management of vestibular migraine in children: Experience from a pediatric vestibular clinic. Eur J Paediatr Neurol. 2016;20(1):85-92.
Batuecas-Caletrío Á, Martín-Sánchez V, Cordero-Civantos C, Guardado-Sánchez L, Marcos MR, Fabián AH, et al. Is Benign Paroxysmal Vertigo of Childhood a migraine precursor? Eur J Paediatr Neurol. 2013;17(4):397-400.
Van De Berg R, Widdershoven J, Bisdorff A, Evers S, Wiener-Vacher S, Cushing SL, et al. Vestibular migraine and recurrent vertigo of childhood: Diagnostic criteria consensus document of the Classification Committee of Vestibular Disorders of the Bárány Society and the International Headache Society. J Vestib Res. 2021;31(1):1-9.
Huppert D, Brandt T. Descriptions of vestibular migraine and Menière’s disease in Greek and Chinese antiquity. Cephalalgia. 2017;37(4):385-90.
Kayan A, Hood JD. Neuro-otological manifestations of migraine. Brain. 1984;107(4):1123-42.
Langhagen T, Landgraf MN, Huppert D, Heinen F, Jahn K. Vestibular Migraine in Children and Adolescents. Curr Pain Headache Rep. 2016;20(12):67.
Dieterich M, Obermann M, Celebisoy N. Vestibular migraine: the most frequent entity of episodic vertigo. J Neurol. 2016;263(S1):82-9.
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211.
Davitt M, Delvecchio MT, Aronoff SC. The Differential Diagnosis of Vertigo in Children: A Systematic Review of 2726 Cases. Pediatr Emerg Care. 2020;36(8):368-371.
Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M. Prevalence and diagnosis of vestibular disorders in children: A review. Int J Pediatr Otorhinolaryngol. 2014;78(5):718-24.
Lima AF, Moreira FC, Menezes AS, Costa IE, Azevedo C, Vilarinho S, et al. Patologia Vestibular em Idade Pediátrica: Análise Retrospetiva e Revisão da Literatura. Acta Médica Port. 2021;34(6):428-34.
Lagman-Bartolome AM, Lay C. Pediatric Migraine Variants: A Review of Epidemiology, Diagnosis, Treatment, and Outcome. Curr Neurol Neurosci Rep. 2015;15(34)
Casani AP, Dallan I, Navari E, Sellari Franceschini S, Cerchiai N. Vertigo in childhood: proposal for a diagnostic algorithm based upon clinical experience. Acta Otorhinolaryngol Ital Organo Uff Della Soc Ital Otorinolaringol E Chir Cerv-facc. 2015;35(3):180-5.
Chakravarty A, Mukherjee A, Roy D. Migraine pain location: how do children differ from adults? J Headache Pain. 2008;9(6):375-9.
Marcelli V, Furia T, Marciano E. Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study. Headache J Head Face Pain. 2010;50(1):71-6.
Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: Diagnostic criteria. J Vestib Res. 2012;22(4):167-72.
Zhang Q, Wu Q, Chen J, Wang X, Zhang Y, Liu S, et al. Characteristics of vestibular migraine, probable vestibular migraine, and recurrent vertigo of childhood in caloric and video head impulse tests. Front Neurol. 2022;13:1050282.
Zhang F, Shen J, Zhu Q, Wang L, Ma X, He B, et al. Evaluating children with vestibular migraine through vestibular test battery: A cross-sectional investigation. Front Neurol. 31 de octubre de 2022;13:997217.
O’Reilly R, Morlet T, Pazuniak M, Greywood J, Levi J. Vestibular and balance testing in childhood migraine. The Laryngoscope. 2012;122(S4):S93-4.
Brodsky JR, Lipson S, Bhattacharyya N. Prevalence of Pediatric Dizziness and Imbalance in the United States. Otolaryngol Neck Surg. 2020;162(2):241-7.
Jahn K, Langhagen T, Schroeder AS, Heinen F. Vertigo and Dizziness in Childhood − Update on Diagnosis and Treatment. Neuropediatrics. 2011;42(04):129-34.
Dunker K, Schnabel L, Grill E, Filippopulos FM, Huppert D. Recurrent Vertigo of Childhood: Clinical features and prognosis. Front Neurol. 2022;13:1022395.
Álvarez N, Acero AG, Diéguez IM. Protocolos diagnósticos y terapéuticos de Neurología Pediátrica. Asociación Española de Pediatría. Cefalea en el niño y el adolescente. 2022;1:115-124
Damen L, Bruijn J, Koes B, Berger M, Passchier J, Verhagen A. Prophylactic Treatment of Migraine in Children. Part 1. A Systematic Review of non-Pharmacological Trials. Cephalalgia. 2006;26(4):373-83.
Barbanti P, Grazzi L, Egeo G. Pharmacotherapy for acute migraines in children and adolescents. Expert Opin Pharmacother. 2019;20(4):455-63.
Oskoui M, Pringsheim T, Holler-Managan Y, Potrebic S, Billinghurst L, Gloss D, et al. Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487-99.
Richer L, Billinghurst L, Linsdell MA, Russell K, Vandermeer B, Crumley ET, et al. Drugs for the acute treatment of migraine in children and adolescents. Cochrane Pain, Palliative and Supportive Care Group. Cochrane Database Syst Rev [Internet]. 2016 [citado 7 de julio de 2023];2016(4). Disponible en: http://doi.wiley.com/10.1002/14651858.CD005220.pub2
Webster KE, Dor A, Galbraith K, Haj Kassem L, Harrington-Benton NA, Judd O, et al. Pharmacological interventions for acute attacks of vestibular migraine. Cochrane ENT Group, editor. Cochrane Database Syst Rev [Internet]. 2023 [citado 15 de julio de 2023];2023(4). Disponible en: http://doi.wiley.com/10.1002/14651858.CD015322.pub2
Johnson A, Bickel J, Lebel A. Pediatric Migraine Prescription Patterns at a Large Academic Hospital. Pediatr Neurol. 2014;51(5):706-12.
Locher C, Kossowsky J, Koechlin H, Lam TL, Barthel J, Berde CB, et al. Efficacy, Safety, and Acceptability of Pharmacologic Treatments for Pediatric Migraine Prophylaxis: A Systematic Review and Network Meta-analysis. JAMA Pediatr. 2020;174(4):341.
Hershey AD, Powers SW, Vockell ALB, LeCates S, Kabbouche MA, Maynard MK. PedMIDAS: Development of a questionnaire to assess disability of migraines in children. Neurology. 2001;57(11):2034-9.
Ralli G, Atturo F, De Filippis C. Idiopathic benign paroxysmal vertigo in children, a migraine precursor. Int J Pediatr Otorhinolaryngol. diciembre de 2009;73:S16-8.
Balatsouras DG, Kaberos A, Assimakopoulos D, Katotomichelakis M, Economou NC, Korres SG. Etiology of vertigo in children. Int J Pediatr Otorhinolaryngol. 2007;71(3):487-94.
Li X, Liu Y, Lyu Y, Li Y, Jian H, Li X, et al. Sensory organization of balance control in children with vestibular migraine and recurrent vertigo of childhood. Front Neurol. 2022;13:970610.
Sandoval-Pacheco, V., Lourido-Piedrahita, D., & San Román-Carbajo, J. (2023). Migraña vestibular en la infancia. Una actualización. Revista ORL, e31539. https://doi.org/10.14201/orl.31539
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