VERTIGO & DIZZINESS ASSESSMENT

Get tested and treated
for vertigo & dizziness
Dr. Anita Bhandari’s Vertigo and Ear Clinic is fully equipped with the most advanced diagnostic equipment and a trained team to investigate the neurotological functioning and coordination of the body’s balance system, that depends on the inputs from the eyes, inner ears and the proprioceptive system of the brain. Our advanced neurotological team is capable of identifying any disturbance in the well-balanced running of these three systems and diagnosing the underlying causes of vertigo or dizziness.
We conduct the following clinical tests for evaluation of the balance or vestibular system.

Videonystagmography (VNG)

Videonystagmography (VNG) for evaluation of vestibulo-ocular reflex. The tests include:

  • Evaluation of spontaneous nystagmus
  • Smooth pursuit system
  • Saccades
  • Gaze-induced nystagmus
  • Head shaking-induced nystagmus
  • Test for skew deviation
  • Nystagmus induced by hyper ventilation and optokinetic stimulation
  • EValsalva
  • Caloric testing
  • Positional testing

Video Head Impulse Test (VHIT)

vHIT enables to test all 6 semi-circular canals at high frequency as well as the saccades strategies (overt and covert). VOR Suppression (VORS) tests identify the presence or absence of saccadic eye movement in order to simultaneously test for the co-existence of vestibular and cerebellar pathology and thus diagnose vestibulo-cerebellar disorders.

vHIT enables to test all 6 semi-circular canals at high frequency as well as the saccades strategies (overt and covert). VOR Suppression (VORS)

Tests identify the presence or absence of saccadic eye movement in order to simultaneously test for the co-existence of vestibular and cerebellar pathology and thus diagnose vestibulo-cerebellar disorders.

Craniocorpography (CCG)

Craniocorpography (CCG) is done to evaluate the vestibulospinal reflex, which is responsible for maintenance of balance during gait testing. Evaluation is done by recording:

  • Romberg test
  • Sharpened Romberg test
  • Tandem walking
  • Unterburger’s test: which evaluates Displacement, Sway, Angle of Deviation and Body Axis Spin with pictorial reports

Subjective Visual Vertical (SVV)

Subjective visual vertical test (SVV) is conducted to determine a patient's ability to perceive the verticality of a viewed object (dependent on inputs from visual, vestibular and somatosensory systems along with a functioning central nervous system) and to detect abnormal subjective tilt. At Dr Anita Bhandari's Vertigo and Ear Clinic both static and dynamic SVV are carried out to:

  • Differentiate peripheral from central vestibular disorders
  • Decide side of peripheral vestibular insult
  • Diagnose compensated vestibular disorders
  • Evaluate patients of chronic dizziness
  • Do follow up of vertigo patients to assess improvement

Subjective visual vertical test (SVV) is conducted to determine a patient's ability to perceive the verticality of a viewed object (dependent on inputs from visual, vestibular and somatosensory systems along with a functioning central nervous system) and to detect abnormal subjective tilt. At Dr Anita Bhandari's Vertigo and Ear Clinic both static and dynamic SVV are carried out to:

  • Differentiate peripheral from central vestibular disorders
  • Decide side of peripheral vestibular insult
  • Diagnose compensated vestibular disorders
  • Evaluate patients of chronic dizziness
  • Do follow up of vertigo patients to assess improvement

Computerized Dynamic Visual Acuity (DVA)

Computerized Dynamic Visual Acuity (DVA) test evaluates the ability of the patient to focus on moving images and to stabilize images on the retina during head movement. The DVA test helps to diagnose vestibulotoxicity and VOR dysfunction.

Stabilometry

Stabilometry is an objective and functional evaluation of the postural control system in its steady-state behaviour.

It is also a very good evaluation tool to measure the outcome of vestibular rehabilitation.

Stabilometry is an objective and functional evaluation of the postural control system in its steady-state behaviour.

It is also a very good evaluation tool to measure the outcome of vestibular rehabilitation.

Computerized Dynamic Posturography (CDP)

Computerized Dynamic Posturography is an objective and functional evaluation of the dynamic postural control system.

It determines deficits in balance strategies and helps to customize rehabilitation according to the patient’s requirements.

Rotary Chair

Rotary Chair is used for testing and monitoring patients with peripheral vestibular loss, dizziness, vertigo, acoustic neuroma, chronic imbalance, eye tracking abnormalities and other vestibular disorders.

Rotatory Chair is used for testing and monitoring patients with peripheral vestibular loss, dizziness, vertigo, acoustic neuroma, chronic imbalance, eye tracking abnormalities and other vestibular disorders.

services
services

Diagnosis of the underlining cause of vertigo requires a battery of tests and, usually, a multidisciplinary approach by a panel of ENT, neurologist and psychiatrist.

─ Dr Anita Bhandari on using Virtual Reality (VR) technology for delivering customized vestibular rehabilitation packages to patients thousands of miles away.

http://www.livemint.com/Leisure/kfICVEGY21cJvWGcDESysM/Are-you-suffering-from-vertigo.html

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