Vertigo & Dizziness Assessment

Home Vertigo & Dizziness Assessment

Dr. Niharika Chugh- ENT/ Otorhinolaryngologist is fully equipped with breakthrough diagnostic equipment and a trained team to investigate the neurotological functioning and coordination of the body’s balance system, which is sustained by the signals sent by the eyes, inner ears and proprioceptive system to 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.

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.

Videonystagmography (VNG)

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

Electronystagmography (ENG)

The following tests are recorded to assess peripheral and central vestibular functions of the human body:

  • Spontaneous nystagmus
  • Gaze-evoked nystagmus
  • Saccades
  • Smooth pursuit test
  • Optokinetic stimulation
  • Caloric stimulation
  • Fistula test

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: in this test the following parameters are evaluated with pictorial reports given to the patient:
  1. – Displacement
  2. – Sway
  3. – Angle of deviation
  4. – Body axis spin.

Subjective Visual Vertical Test (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 is 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.

Opening Hours

Monday – Friday 8.00 – 18.00
Saturday 9.00 – 17.00
Sunday 9.00 – 15.00
Holidays Closed

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Quick Contact

  • Address PO Box 16122 Collins Street West Victoria 8007 Australia
  • Phone 888-123-4567 / 888-321-7654