Clinical study of children with dizziness in our hospital

Abstract

We aimed to conduct interviews on the daily life habits focusing on lightheadedness, sleep-onset disorder associated with recently emerging visual stimuli due to the use of smartphones and games, impairment of sleep quality due to midnight awakening, stress, and migraine in children to explore the causes of the onset of pediatric dizziness. A comparative study was conducted with the subjects of 70 children with pediatric dizziness and 60 control children without dizziness by interviewing them about dizziness and daily life. In the interviews about daily life, the children with pediatric dizziness were found to have experienced sleep disorders significantly more frequently, including sleep-onset disorders and midnight awakening in comparison to those without dizziness. These results suggest that chronic sleep disorders caused autonomic imbalance, which in turn caused dysregulation of circulatory control while standing, leading to orthostatic dysregulation. The children with pediatric dizziness had experienced migraine significantly more frequently in comparison to those without dizziness. In addition, children with pediatric dizziness had experienced significantly more late arrivals at school etc. in comparison to those without dizziness. These results led us to conclude that the improvement of sleep by improving sleep-onset disorder and midnight awakening in daily life, as well as the early detection and treatment of orthostatic dysregulation and migraine, are important for improving pediatric dizziness and reducing social incompatibility, such as late arrival at school.