Doettl SM, Plyler PN, McCaslin DL, Schay NL. Pediatric Oculomotor Findings during Monocular Videonystagmography: A Developmental Study. Journal of the American Academy of Audiology. 2015 Sep;26(26). 703-15. PMID: 26333878 [PubMed]
The differential diagnosis of a dizzy patient >4 yrs old is often aided by videonystagmography (VNG) testing to provide a global assessment of peripheral and central vestibular function. Although the value of a VNG evaluation is well-established, it remains unclear if the VNG test battery is as applicable to the pediatric population as it is for adults. Oculomotor testing specifically, as opposed to spontaneous, positional, and caloric testing, is dependent upon neurologic function. Thus, age and corresponding neuromaturation may have a significant effect on oculomotor findings.