@article{ref1,
title="Benign paroxysmal positional vertigo after pediatric sports-related concussion",
journal="Clinical journal of sport medicine",
year="2020",
author="Reimer, Karen and Ellis, Vanessa and Cordingley, Dean M. and Russell, Kelly and Ellis, Michael J.",
volume="30",
number="4",
pages="412-415",
abstract="OBJECTIVE: Report the clinical findings and outcomes among pediatric patients diagnosed with benign paroxysmal positional vertigo (BPPV) after sports-related concussion (SRC).   DESIGN: Retrospective case series.   SETTING: Multidisciplinary pediatric concussion program.   PATIENTS: Patients younger than 19 years with a sport or recreation activity-related concussion referred for comprehensive vestibular physiotherapy assessment.   MAIN OUTCOME MEASURE: Symptom resolution after targeted particle repositioning (PR).   RESULTS: During the study period, 115 pediatric SRC patients underwent vestibular physiotherapy assessment including 12 (10.4%) who were diagnosed with BPPV. Unilateral posterior semicircular canal (SCC) BPPV was diagnosed in 8/12 (75%) patients, and unilateral anterior SCC BPPV diagnosed in 4/12 (25%) patients. Benign paroxysmal positional vertigo was successfully treated in all patients with a mean of 1.58 targeted PR maneuvers (range = 1-4).   CONCLUSIONS: Comprehensive management of pediatric SRC requires a multidisciplinary approach to address the heterogeneous pathophysiology of persistent postconcussion symptoms. Pediatric SRC patients with coexisting BPPV should be considered for targeted PR.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000000617",
url="http://dx.doi.org/10.1097/JSM.0000000000000617"
}