{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:05:28Z","timestamp":1789646728440,"version":"4.0.0"},"reference-count":28,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pediatric episodic vestibular syndrome (EVS) is increasingly recognized, with recurrent vertigo of childhood (RVC) and vestibular migraine of childhood (VMC) being the most prevalent disorders. In 2021, the B\u00e1r\u00e1ny Society and the International Headache Society proposed new diagnostic criteria for RVC, VMC, and probable VMC (pVMC), replacing the older term benign paroxysmal vertigo (BPV). This study aimed to evaluate the clinical applicability of these new criteria. Methods: We conducted a cross-sectional study at a pediatric neurotology clinic within a tertiary hospital, including patients under 18 years with episodic vestibular symptoms evaluated between 2018 and 2025. All patients underwent a standardized neuro-otological assessment. Diagnoses were assigned using both the 2018 ICHD-3 and the 2021 B\u00e1r\u00e1ny criteria. Patients who did not fulfill any of the three new diagnostic categories, nor met criteria for any other specific vestibular disorder, were grouped into an undetermined category referred to as episodic vestibular syndrome without hearing loss (EVSw\/oHL). Demographic and clinical variables were compared across diagnostic groups using non-parametric and chi-squared tests. Results: Among the 202 children evaluated, 109 met the inclusion criteria and were classified as RVC (n = 55), VMC (n = 23), pVMC (n = 13), or EVSw\/oHL (n = 18). All patients previously diagnosed with BPV met the new criteria for RVC. Application of the B\u00e1r\u00e1ny criteria significantly reduced the proportion of unclassified EVS cases (from 35.78% to 16.51%). Significant clinical differences were observed among the groups in terms of episode duration, presence of vomiting, migraine and headache, and family history of migraine. Conclusions: The new B\u00e1r\u00e1ny criteria provide a more inclusive and clinically meaningful framework for classifying pediatric EVS. They improve diagnostic clarity, reduce the proportion of unclassifiable cases, and support earlier and more tailored management strategies.<\/jats:p>","DOI":"10.3390\/jcm14175971","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:09:53Z","timestamp":1756080593000},"page":"5971","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Diagnostic Yield of the New B\u00e1r\u00e1ny Society Criteria for Pediatric Episodic Vestibular Syndrome"],"prefix":"10.3390","volume":"14","author":[{"given":"Mar","family":"Rey-Berenguel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Vallecillo-Zorrilla","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith Karelly","family":"Burgue\u00f1o-Uriarte","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8374-064X","authenticated-orcid":false,"given":"Mar\u00eda del Carmen","family":"Olvera-Porcel","sequence":"additional","affiliation":[{"name":"Biostatistics, Unidad de Gesti\u00f3n y Apoyo a la Investigaci\u00f3n, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8436-5629","authenticated-orcid":false,"given":"Juan Manuel","family":"Espinosa-Sanchez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain"},{"name":"Division of Otolaryngology, Department of Surgery, University of Granada, 18071 Granada, Spain"},{"name":"Otology and Neurotology Group CTS495, Instituto de Investigaci\u00f3n Biosanitaria ibs.GRANADA, 18012 Granada, Spain"},{"name":"Sensorineural Pathology Program, Centro de Investigaci\u00f3n Biom\u00e9dica en Red en Enfermedades Raras (CIBERER), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1177\/0194599819887375","article-title":"Prevalence of Pediatric Dizziness and Imbalance in the United States","volume":"16","author":"Brodsky","year":"2020","journal-title":"Otolaryngol. 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