Recurrent Vertigo of Childhood in a Toddler

Vertigo in the pediatric population is uncommon and difficult to diagnose due to limited awareness among caregivers and healthcare providers. Benign Paroxysmal Positional Vertigo in Childhood, currently termed Recurrent Vertigo of Childhood (RVC), is among the most common causes of episodic vertigo in childhood. We report a case of a previously healthy 2-year-old girl who presented with a 4-month history of recurrent, unprovoked spinning sensations lasting approximately 5–15 min. The child usually cries loudly or screams during the episode; however, she remains conscious throughout the attacks. Some attacks are associated with vomiting. Oto-neurological examinations were unremarkable. The single-leg stance test was delayed bilaterally. RVC remains a clinical diagnosis based on the Barany Society criteria. The diagnosis is often delayed, and patients are frequently subjected to extensive investigation. The exact pathophysiology of RVC remains scarcely understood. Management mainly focuses on parental reassurance, education, and lifestyle modifications.