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Benign Paroxysmal Vertigo — RACP Paediatrics MCQ

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ModerateNeurology & DevelopmentBenign Paroxysmal VertigoRACP Paediatrics

A 5-year-old girl presents with recurrent episodes of vertigo, unsteadiness, pallor, and vomiting lasting 1-2 hours. Between episodes she is completely normal. There is a strong family history of migraine. EEG and MRI are normal. What is the diagnosis?

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Correct answer: A — Benign paroxysmal vertigo of childhood

Benign paroxysmal vertigo of childhood is a migraine equivalent presenting with brief recurrent episodes of vertigo, unsteadiness, pallor, and vomiting in preschool-aged children. Children are completely normal between episodes. Family history of migraine is common. It is self-limiting and often evolves into migraine in later childhood.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Vertigo in Children