Table 1.

Symptoms of pediatric vestibular disease.

• Obvious dizziness/vertigo/lightheadedness (usually describable by children above 8 years of age) • Fright or pallor • Clutching at objects to steady oneself • Bumping into things • Clumsiness • Sudden very brief lasting falls with immediate complete recovery • Periodic episodes of nausea or vomiting ± migrainous features • Delayed motor functions • Loss of postural control • Difficulty with ambulating in the dark • Difficulty with or avoidance to ride a bike or in amusement park rides due to imbalance • Abnormal movements during walking, running • Abnormal behavior observed up by significant others (care giver, school or peer group) • Difficulties in challenging movements (swimming, dancing) • Oscillopsia • Difficulties in challenging visual environments for example in superstores and in crowded places • Poor head eye or hand eye coordination • Third window symptoms if described by older children—conductive dysacusis (for example hearing one's own footsteps), gaze evoked tinnitus (audible eye movements), autophony (altered perception or perverted self-monitoring of own voice), Tullio's phenomenon (dizziness on hearing loud sounds), Hennebert's phenomenon (pressure induced dizziness for example on coughing and sneezing), pulsatile tinnitus (tinnitus that is synchronous with pulse beat)