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Charting the Course through Vestibular Paroxysmia: Insights into Recognition, Diagnosis, and Management

Samara Urban De Oliva

Vestibular paroxysmia is a relatively rare but debilitating neurological condition that affects the vestibular system, responsible for balance and spatial orientation. Often misdiagnosed or overlooked, vestibular paroxysmia can significantly impact a person's daily life, leading to episodes of dizziness, vertigo, and imbalance. In this article, we will explore the world of vestibular paroxysmia, its symptoms, diagnosis, and potential treatments. Vestibular paroxysm (VP) is a disorder seen in children that is believed to be caused by neurovascular cross-compression syndrome (NCVS). The aim of this study was to report a possible new pathology, internal auditory canal stenosis (IAC), which appears to be associated with the development of the clinical picture of PV in children. A retrospective descriptive comparative study was performed to compare clinical, electrophysiological, radiological, and treatment outcomes in the two etiologies. A total of 16 pediatric patients with VP were included and divided into two groups: patients with intrinsic auditory stenosis were compared with patients with CCNV syndrome. Patients in both groups were similar in terms of auditory complaints, as well as auditory, vestibular, and electrophysiological status

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