Benign paroxysmal positional vertigo in a child: an infrequent complication following a fairground ride and post-cochlear implant surgery

Cochlear Implants International
Anuradha Shetye

Abstract

Benign paroxysmal positional vertigo (BPPV) is an uncommon complication that can develop after cochlear implantation. This condition has been documented in adults as a complication of cochlear implant surgery. However, there is no reported literature on BPPV in children who have undergone cochlear implant surgery. A 13-year-old girl underwent the insertion of a cochlear implant and developed BPPV as a result of visiting fairground rides approximately 2 years after surgery. We performed a right Epley's maneuver. She was advised to do Brandt-Daroff exercises for 6 weeks. She became symptom free within a few weeks of doing vestibular rehabilitation exercises. Nevertheless, she had been compliant with vestibular rehabilitation for 6 weeks. The vibration injury to the labyrinth caused during the various rides could be analogous to the mechanism of trauma to the labyrinth as occurs during head injury. The other possibility could be dislodgement of the otoconia from the already vulnerable utricle that has been subject to cochlear implantation. It is presumed that the vulnerability of the labyrinth following the cochlear implantation happened as the child suffered from dizziness in the immediate post-operative period. However, a chance...Continue Reading

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Citations

Sep 17, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Qingxiu YaoDongzhen Yu
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Feb 5, 2021·Audiology Research·Cristiano BalzanelliLuca Oscar Redaelli de Zinis

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