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Peer-reviewedCC BYAudiology research

Recurrent Vertigo of Childhood Revisited: Clinical Findings Supporting a Developmental Vestibular Migraine Spectrum.

  • Giacinto Asprella Libonati1
  • Rudi Pecci2
  • Giada Cavallaro1
  • Fernanda Asprella Libonati3
  • Paolo Pagnini2
  1. 1Otolaryngology Unit, Madonna Delle Grazie Hospital of Matera, 75100 Matera, Italy.
  2. 2Audiology Clinic, Azienda Ospedaliero Universitaria Careggi, 50134 Florence, Italy.
  3. 3Otolaryngology Unit, Engles Profili Hospital, AST Ancona, 60044 Fabriano, Italy.
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Abstract

Background

Complaints of vertigo and dizziness are frequently encountered in childhood and may coexist with migraine-associated features. The present study reassessed a historical pediatric cohort within an expanded phenotypic framework.Methods

This retrospective multicenter descriptive study analyzed 146 children aged 3-12 years evaluated for recurrent vestibular symptoms between 1995 and 2022 at two Italian tertiary neuro-otological referral centers. Clinical history and neuro-otological examination represented the common diagnostic foundation, while age-appropriate audiological evaluation was performed in virtually all children and additional vestibular or imaging investigations were clinically selective.Results

Of the 146 children, 144 fulfilled the 2021 Bárány Society criteria for Recurrent Vertigo of Childhood (RVC), whereas two presented with isolated benign paroxysmal torticollis. None fulfilled the criteria for Vestibular Migraine of Childhood or probable Vestibular Migraine of Childhood. Headache was reported in 15.8% of patients, whereas motion sensitivity, sensory hypersensitivity, autonomic symptoms, and additional migraine-associated developmental syndromes were frequently observed.Conclusions

In this selected tertiary cohort, the clustering of migraine-associated features was compatible with a developmental migraine-related vestibular spectrum. These phenotypic associations do not demonstrate longitudinal disease evolution, and prospective longitudinal studies are required.

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Cite

BibTeXRIS
BibTeX
@article{libonati2026recurrent,
  title = {{Recurrent Vertigo of Childhood Revisited: Clinical Findings Supporting a Developmental Vestibular Migraine Spectrum.}},
  author = {Giacinto Asprella Libonati and Rudi Pecci and Giada Cavallaro and Fernanda Asprella Libonati and Paolo Pagnini},
  journal = {Audiology research},
  year = {2026},
  month = sep,
  doi = {10.3390/audiolres16050149},
  url = {https://europepmc.org/article/MED/42930347},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Recurrent Vertigo of Childhood Revisited: Clinical Findings Supporting a Developmental Vestibular Migraine Spectrum.
AU  - Giacinto Asprella Libonati
AU  - Rudi Pecci
AU  - Giada Cavallaro
AU  - Fernanda Asprella Libonati
AU  - Paolo Pagnini
PY  - 2026
DA  - 2026/09/30
JO  - Audiology research
DO  - 10.3390/audiolres16050149
UR  - https://europepmc.org/article/MED/42930347
AB  - Background  Complaints of vertigo and dizziness are frequently encountered in childhood and may coexist with migraine-associated features. The present study reassessed a historical pediatric cohort within an expanded phenotypic framework.Methods  This retrospective multicenter descriptive study analyzed 146 children aged 3-12 years evaluated for recurrent vestibular symptoms between 1995 and 2022 at two Italian tertiary neuro-otological referral centers. Clinical history and neuro-otological examination represented the common diagnostic foundation, while age-appropriate audiological evaluation was performed in virtually all children and additional vestibular or imaging investigations were clinically selective.Results  Of the 146 children, 144 fulfilled the 2021 Bárány Society criteria for Recurrent Vertigo of Childhood (RVC), whereas two presented with isolated benign paroxysmal torticollis. None fulfilled the criteria for Vestibular Migraine of Childhood or probable Vestibular Migraine of Childhood. Headache was reported in 15.8% of patients, whereas motion sensitivity, sensory hypersensitivity, autonomic symptoms, and additional migraine-associated developmental syndromes were frequently observed.Conclusions  In this selected tertiary cohort, the clustering of migraine-associated features was compatible with a developmental migraine-related vestibular spectrum. These phenotypic associations do not demonstrate longitudinal disease evolution, and prospective longitudinal studies are required.
SN  - 2039-4330
SN  - 2039-4349
ER  -