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Pediatric fibromyalgia (FM) & dizziness: evaluation of vestibular function

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www.ProHealth.com • August 6, 1999


Twelve children with fibromyalgia and complaints of chronic
dizziness were evaluated with both clinical office maneuvers
of vestibular function and laboratory tests composed of
electronystagmography and sinusoidal harmonic acceleration
rotary chair testing. All test results were normal for
spontaneous nystagmus with or without visual fixation,
oculocephalic reflex, dynamic visual acuity, head-shaking
nystagmus, Quix test, and Dix-Hallpike maneuver.

Electronystagmography test results were essentially normal for
saccades, gaze, Dix-Hallpike, pendular tracking, and caloric
evaluation. Rotary chair testing was normal in all 12
patients. These findings suggest that central (brainstem) and
peripheral vestibular (inner ear) mechanisms do not account
for the complaints of dizziness in the pediatric patient with
fibromyalgia. The common musculoskeletal abnormalities of
fibromyalgia may affect their proprioceptive orientation,
therefore giving them a sense of imbalance.

Rusy LM, Harvey SA, Beste DJ




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