Case of pediatric vertigo treated with transtympanic positive-pressure therapy

Abstract

Some children suffer from severe vertigo and dizziness. The symptoms of these include vestibular migraine and recurrent vertigo. However, a few cases arise due to vestibular issues. There are no reports on the treatment of pediatric vertigo using transtympanic positive-pressure therapy. Herein, we report a case that was effectively treated with this new approach. The child had severe vertigo, tinnitus and low-tone hearing loss after acute febrile mucocutaneous lymph node syndrome. She resisted the conservative treatment, and her cVEMP tuning property test, one of the tests that detect endolymphatic hydrops in the inner ear, was positive. We speculated that her vertigo occurred from endolymphatic hydrops and started this treatment. Following the initiation of this new therapy, her vertigo disappeared soon, and she did not need to take any medications and was even able to resume going to school. To us, transtympanic positive-pressure therapy is helpful for severe vertigo with endolymphatic hydrops in childhood.