engleski

Outcome of children with epileptic vertigo

Purpose: Epileptic vertigo is relatively rare form of epilepsy, making 6% of all causes of vertigo. The aim of this paper is to show the outcome of our patients with epileptic vertigo due to motor and cognitive functions as well as according to seizure control. We present three children with vertigo as the main symptom of epilepsy. Patients: Three of our patients with epilepsy were presented with repeated paroxysmal vertigo. All of them had normal results of otorhinolaryngological and ophthalmologic examinations. They all had focal and paroxysmal electroencephalographic discharges, with localized spikes and/or generalized spike wave complexes, with normal magnetic resonance of the brain. They started with anticonvulsant therapy (oxcarbazepine or valproic acid) and became seizure free during the therapy. The first patient was taking oxcarbazepine for two and a half years, and after the medication discontinuing, she is seizure free for a year and a half. Other two patients were treated with valproic acid, and also didn’t have any similar seizures after the therapy initiation. All of them had their EEG normalized. Their cognitive development is average. They didn’t have any impairment in motor functions during the course of disease or after. Conclusion: Outcome of our patients with epileptic paroxysmal vertigo is excellent. They all have their electroencephalogram normalized, they are seizure free on and after anticonvulsant therapy, without motor impairments and with normal cognitive development.

epileptic vertigo

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