Objective To report clinical features and management of BPPV in children.Methods Children(<18 years,n=17)diagnosed with BPPV from January 2018 to June 2022 in the Otology Clinic,First Affiliated Hospital of Zhengzhou University were compared to 5275 adult patients during the same period,including clinical characteristics,incidence,rate of symptom resolution,etc.Results The incidence of BPPV was 3.4%in children and 39.8%in adults(P<0.01).The rate of secondary BPPV was 70.6%in children,compared to 32.6%in adults(P<0.01).The rate of complete resolution was 94.1%in children,and 92.0%in adults(χ2=0.102,P=0.750).Conclusions BPPV is a relatively common cause of dizziness in children,although at a lower incidence than in adults.BPPV in children can be successfully treated with repositioning maneuvers.Secondary BPPV is more common in children.Positioning tests should be considered in children with ambiguous complaints or diagnosed with other vertigo diseases to minimized missed diagnosis and unnec-essarily delayed recovery.
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