Center for Injury Research and Prevention

Vestibular and Oculomotor Findings in Neurologically-Normal, Non-Concussed children.

TitleVestibular and Oculomotor Findings in Neurologically-Normal, Non-Concussed children.
Publication TypeJournal Article
Year of Publication2018
AuthorsCorwin DJ, Zonfrillo MR, Wiebe DJ, Master CL, Grady MF, Arbogast KB
JournalBrain Inj
Date Published03/2018

OBJECTIVE: To determine the proportion of non-concussed, neurologically normal children with failures on a vestibular and oculomotor examination for concussion performed in an acute setting.

DESIGN: This was a cross-sectional study of subjects 6-18 years old presenting to a paediatric emergency department with non-neurologic chief complaints. The examination was administered by a paediatric emergency medicine physician, and includes assessments of dysmetria, nystagmus, smooth pursuits, saccades, gaze stability, near-point of convergence, and gait/balance testing.

RESULTS: Of the 295 subjects enrolled, 24% failed at least one element of testing. About 13% had >1 failed element and 5% had >2 failed elements. About 29% of females and 19% of males had failed examinations. By age, 15% of subjects 6-8 years old, 32% 9-11 years, 32% 12-14 years, and 26% 15-18 years had failed examinations. Overall, 10% were unable to complete the exam due to developmental age.

CONCLUSIONS: The provider should be aware that a proportion of non-concussed children may demonstrate failure on a single element of the vestibular and oculomotor exam. While this testing is of benefit to the acute care provider in diagnosing paediatric concussion, its utility is greatest in the context of an injury history with acute onset of concussion symptoms.

Alternate JournalBrain Inj
PubMed ID29584455
PubMed Central IDPMC6094364
Grant ListR49CE002474 / / ACL HHS / United States
T32 NS061779 / NS / NINDS NIH HHS / United States