Background and Purpose: 

This report highlights the challenges of diagnosing pediatric vestibular neuritis following dental treatment and addressing fear avoidance behaviors.

Case Description: 

An 11-year-old boy came to physical therapy with vestibular dysfunction following dental treatment that was unable to be diagnosed by emergency department staff. The participant received multispecialty treatment for 6 weeks.

Measurements: 

Computerized Dynamic Posturography, Limits of Stability, Dizziness Handicap Inventory, Functional Gait Assessment, Dynamic Visual Acuity, and Modified Clinical Test of Sensory Interaction on Balance.

Outcomes: 

Most notable improvements were seen in Limits of Stability and Computerized Dynamic Posturography. The participant made a full return to school and sport.

Conclusions: 

The difficulty of pediatric vestibular neuritis diagnosis led to fear avoidance behaviors that were addressed by a collaborative specialty approach.

What This Adds to Evidence: 

This is the first documented case of pediatric vestibular neuritis as a complication of a dental procedure with intervention focused on fear avoidance behaviors.

中文翻译：

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儿童前庭延迟诊断的团队方法：案例研究

背景和目的： 

本报告强调了牙科治疗后诊断小儿 前庭神经炎和解决恐惧回避行为的挑战。

案例描述： 

一名 11 岁男孩在牙科治疗后因前庭功能障碍前来物理治疗，但急诊室工作人员无法诊断。参与者接受了为期 6 周的多专科治疗。

测量： 

计算机动态姿势描记法、稳定性极限、头晕障碍清单、功能性步态评估、动态视力以及平衡感觉相互作用的改良临床测试。

结果： 

最显着的改进是稳定性极限和计算机动态姿势描记术。参与者完全重返学校和运动。

结论： 

小儿 前庭神经炎诊断的困难导致了恐惧回避行为，通过协作专业方法解决了这一问题。

这增加了哪些证据： 

这是第一例有记录的小儿 前庭神经炎病例，该病例是牙科手术并发症，干预重点是避免恐惧行为。