Benign paroxysmal vertigo in children is the most common type of vertigo in childhood. It is often seen in children, and its incidence is not as high as that of adults. There are many causes of vertigo in children, such as otitis media, various inner ear diseases, congenital malformations in the ear, intracranial neoplasms and several systemic diseases. However, the most common type of vertigo in otology is the recurrent non-organic vertigo, mainly in school-age children, which is easily triggered by stressful exertion, such as exams, infections, activities in the hot sun, watching TV for too long, lack of rest or sleep, and sudden changes in climate. This kind of vertigo is often accompanied by nausea and vomiting. The symptoms are aggravated when you stand up or walk around, and are easily triggered by fatigue or lack of sleep. If the symptoms are severe, it may lead to vomiting, and the symptoms may be relieved after vomiting, but may be aggravated again after a few moments. The duration of vertigo is short, from a few minutes to a few hours. During the remission period, there is no vertigo discomfort, but it is easy to recur. Main causes 1. Sleep deprivation. It is mostly found in school-age children, mostly due to excessive study load and late sleep and early rise. They often complain of dizziness, loss of appetite, and lack of energy soon after waking up, and usually do not have a sense of rotation of surrounding objects or nausea or vomiting. If the sleep time is increased, the dizziness will disappear naturally. 2. Hypoglycemia. It is mainly caused by hunger. Insufficient breakfast intake is more common in childhood. Mostly due to the morning rush to school or breakfast food does not taste good and affects the amount of food eaten. If it is accompanied by insufficient sleep at night, it is more likely to cause dizziness. In more serious cases of hypoglycemia, the person may feel weak, cold sweat, white face, cold hands and feet, or even coma. 3. Seasickness or motion sickness. When riding in a boat or car, dizziness occurs due to shock, often accompanied by pale face, nausea and vomiting. Most often seen with a family history of hereditary disease. 4. Genetic factors. Parents have a similar history, especially mothers with a history of motion sickness, and grandmothers may also have a history of migraine, vertigo, or motion sickness, i.e., the maternal line is predominant. The symptoms of vertigo and motion sickness may gradually decrease and improve as the child grows up. If a child has severe vertigo attacks, he or she should be examined by a quintuplegic physician for a definitive diagnosis. The general physical examination includes a general physical examination and a specialized examination of ear, nose and throat. Audiological examination includes pure tone audiometry and brainstem evoked response audiometry. Vestibular function examination includes optokinetic examination, positional and translocation tests, hot and cold alternation test, rotation test, platform posture examination method, etc. EEG, brain MRI and temporal bone CT are also feasible. How to prevent and treat 1. In terms of treatment, conservative treatment methods are basically used. Find the cause and then treat the cause. Most of the cases are benign paroxysmal vertigo and the prognosis is good, so it is necessary to relieve parents’ anxiety and children’s panic first. Treatment should be given to the cause. If the dizziness is caused by lack of sleep, the quality and duration of sleep should be ensured. In school-age children, if dizziness occurs shortly after waking up, sleep deprivation should be considered. If dizziness occurs near noon, consider hypoglycemia due to inadequate food intake. It is necessary to check whether the time of sleep is sufficient and how well breakfast is eaten. 2. Children with vertigo can be treated by controlling their diet. It is better to eat foods containing glutamate and tyrosine (such as fish, beef, donkey meat, shellfish) less or not at all, as well as MSG, fresh soy sauce, seasonings, cheese, coffee, chocolate, bananas, and all drinks containing additives except water. If a child with vertigo has good control over eating, the self-healing rate will reach 50%. In addition, parents should pay attention to breakfast and give food with good nutritional content and lighter taste. Do not force children to eat greasy or too hot food for breakfast to avoid affecting the amount of food eaten.