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Vestibular Migraine in Children: The Most Common Cause of Dizziness

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1.  Which of the following is a key feature that differentiates pediatric vestibular migraine from benign paroxysmal vertigo of childhood?
  1. Sudden onset of hearing loss
  2. Presence of photophobia or phonophobia during episodes
  3. Persistent ataxia
  4. Seizure activity observed during vertigo episodes
2.  Which diagnostic element is considered essential when evaluating a child for vestibular migraine?
  1. Genetic testing for migraine predisposition
  2. Detailed audiovestibular history and symptom correlation
  3. Contrast-enhanced MRI
  4. Routine otoacoustic emissions
3.  Which neurotransmitter has been implicated in the pathogenesis of vestibular migraine in children, highlighting a difference from adult cases?
  1. Acetylcholine
  2. Dopamine
  3. Calcitonin Gene-Related Peptide (CGRP)
  4. Serotonin
4.  According to recent findings, what is a significant neurophysiological distinction between adult and pediatric vestibular migraine?
  1. Greater cortical involvement in children
  2. Age-related differences in neurotransmitter expression
  3. Presence of brainstem lesions in pediatric patients
  4. Involvement of the cerebellum in adult patients only
5.  What is a recommended initial management strategy for children diagnosed with vestibular migraine?
  1. Immediate initiation of beta blockers
  2. Avoidance of physical activity and complete rest
  3. Identification and avoidance of triggers combined with lifestyle adjustments
  4. Use of sedatives during episodes

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