Pediatric fibromyalgia and dizziness: evaluation of vestibular function. J Dev Behav Pediatr 1999 Aug;20(4):211-5
Date
09/04/1999Pubmed ID
10475594DOI
10.1097/00004703-199908000-00002Scopus ID
2-s2.0-0033174722 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
Twelve children with fibromyalgia and complaints of chronic dizziness were evaluated with both clinical office maneuvers of vestibular function and laboratory tests composed of electronystagmography and sinusoidal harmonic acceleration rotary chair testing. All test results were normal for spontaneous nystagmus with or without visual fixation, oculocephalic reflex, dynamic visual acuity, head-shaking nystagmus, Quix test, and Dix-Hallpike maneuver. Electronystagmography test results were essentially normal for saccades, gaze, Dix-Hallpike, pendular tracking, and caloric evaluation. Rotary chair testing was normal in all 12 patients. These findings suggest that central (brainstem) and peripheral vestibular (inner ear) mechanisms do not account for the complaints of dizziness in the pediatric patient with fibromyalgia. The common musculoskeletal abnormalities of fibromyalgia may affect their proprioceptive orientation, therefore giving them a sense of imbalance.
Author List
Rusy LM, Harvey SA, Beste DJAuthors
Steven A. Harvey MD Associate Professor in the Otolaryngology department at Medical College of WisconsinLynn M. Rusy MD Professor in the Anesthesiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentBrain Stem
Child
Dizziness
Electronystagmography
Female
Fibromyalgia
Humans
Male
Proprioception
Vestibule, Labyrinth
