skip to main content

Benign paroxysmal vertigo — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateNeurologyBenign paroxysmal vertigoRACP Paediatrics

A 4-year-old has recurrent brief episodes (minutes) of acute vertigo with pallor and vomiting. She clings to her parents and refuses to walk during episodes. Between episodes she is completely normal. There is a strong family history of migraine. Neurological examination and MRI are normal. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Benign paroxysmal vertigo of childhood

Recurrent brief episodes of vertigo with pallor/vomiting, normal interictal exam, and migraine family history is benign paroxysmal vertigo of childhood – a migraine equivalent. It typically resolves by age 8 and many children later develop migraine. Reassurance is the mainstay.

Reference: RCH Melbourne – 2023 – Vertigo CPG; RACP Paediatric Curriculum – Neurology