Disequilibrium is caused by the disturbance in the harmonious functioning of the balance system of the human body, which is maintained by inputs from the eyes, inner ears (vestibular) and the proprioceptive system. It is a complex network with many components, including the :
These three systems send signals to the brain for proper coordination and maintenance of balance. A neurotological evaluation of vertigo and balance disorder patients covers an assessment of their functioning and coordination with our suite of breakthrough and diagnostic equipment.
Any disturbance in the harmonious functioning of these systems is diagnosed by our specialized neurotological team at the advanced vertigo and balance clinics, which evaluates each part of the vestibular system. Once its functional status has been assessed and affected areas identified, the management protocol is decided upon.
Subjective Visual Vertical (SVV) is the test for the otolith system (the utricle and saccule) which is responsible for perception of verticality, and gravity. It is an important test for chronic unsteady patients.
Craniocorpography (CCG) evaluates the vestibulospinal reflex, which is responsible for maintenance of balance during gait testing. This test helps to determine vestibular rehabilitation strategy as well.
Caloric test has been the gold standard in vestibular testing for over 100 years. NeuroEquilibrium Caloric Irrigators are used in combination with the VNG machine to conduct caloric tests on patients with dizziness or balance disorders.
The Videonystagmography (VNG) investigation evaluates the vestibulo-ocular reflex (VOR), which is an important part of the vestibular system to maintain balance. It also evaluates the oculomotor system, responsible for gaze stabilization and fixation.Using VNG, the doctor can evaluate and distinguish between peripheral and central vestibular disorders decide the side affected and, determine the position of the otolith within the semicircular canals in BPPV.
Dynamic Visual Acuity (DVA) is an investigation for detection of peripheral vestibulopathy and early detection of vestibulotoxicity. It assesses the VOR (vestibulocular reflex) which is responsible for the subject to maintain the image on the fovea during head movement. When the VOR system is impaired, visual acuity degrades substantially during head movement as the subject is not able to maintain the image on the retina, resulting in retinal slip and blurring of vision with a feeling of instability.
Electronystagmography (ENG) is also available at NeuroEquilibrium™ Diagnostic Systems though we recommend Videonystagmography (VNG), which is a far more advanced test. As in VNG, this investigation evaluates the vestibulo ocular reflex (VOR), which helps in maintenance of balance. It also evaluates the oculomotor system, which is responsible for gaze stabilization and fixation. It helps to evaluate peripheral and central vestibular functions: ENG measures the charge in corneoretinal potential during various vestibular and oculomotor tests.
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.
The 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.
MD, PhD, ENT Surgeon
And all the way from Cyprus!
In my private practice, I have added to my diagnostic arsenal, the NeuroEquilibrium equipment. Since I have started using it, I am able to get the exact diagnosis to treat my patients – at times, diagnosing up to three underlying causes. Just diagnosing someone who has chronic vertigo, which was never properly examined and diagnosed earlier, is almost half the treatment! Patients feel relieved and satisfied with just that they have finally been diagnosed and not left untreated with a feeling of being abandoned and alone.
I would recommend NeuroEquilibrium to any ENT doctor who wants to expand his practice with world-class quality and powerful diagnostic equipment. It has helped my practice and my patients are very happy.
Maurya ENT Research Centre Kanker Bagh, Patna
I have been using the VNG, SVV, DVA and CCG from NeuroEquilibrium for the last four months. I am completely satisfied with the performance of the equipment and would like my newly emerging neurotologist colleagues to go for this equipment. Apart from the instruments, the patient history proforma for Vertigo cases is extremely helpful in arriving at a proper conclusion, Wishing you a successful future
D.L.O, M.S Centre For ENT, Hearing Care & Vertigo
Through my decades of experience in the medical field, Vertigo has always been a challenging problem to treat. These patients are often full of anxiety and dread. The NeuroEquilibrium platform has enabled me to thoroughly and systematically evaluate these patients starting with a detailed history to the highly advanced neurotological tests. The inputs from the Neurotology and Neurology team help me to plan treatment which is best suited for each patient. The NeuroEquilibrium platforms also helps avoid unwanted drug interactions and side effects especially in elderly patients who are usually on medication for other disorders. Customized Vestibular Rehabilitation therapy, provided by NeuroEquilibrium, is an important treatment component in the management of vertigo patients to ensure a long-lasting recovery. NeuroEquilibrium is offering cutting edge technology which is possibly the most advanced globally. It is indeed very satisfying to see my patients fully recover after correct diagnosis and treatment.
MBBS, MS, DNB, MNAMS , Max Smart Super Specialty Hospital, Saket
I run a super-specialty Otology Clinic and see many patients complaining of vertigo and imbalance. These patients are of all age groups from children to middle aged and often elderly.
Vertigo is a very unsettling problem and these patients are in distress. These patients are sometimes suffering for years and have been to many doctors of various specialties with little relief. The NeuroEquilibrium system has helped me in the management of these patients using equipment with the latest technology to provide a scientific evaluation of the balance system. Interpretation provided by super-specialist doctors at Neuroequilibrium further helps me to plan the most appropriate and customized treatment for each patient. I have been working with Neuroequilibrium for more than two years and I have seen the platform evolve to a world class product and service.
I am committed to excellence in my work and I believe that NeuroEquilibrium is helping me to provide the best and most scientific management for my patients with vertigo and balance disorders. Ultimately ‘the proof of the pudding’ is a happy and satisfied patient!
MS DNB DLO DHA , MedFirst Healthcare Pvt. Ltd.
Treating vertigo patients is a challenging medical problem because of the many presentations which the patient may show and the many disorders which can cause vertigo.
Patients often come suffering from this problem since years together, going from one doctor to the other and taking medicines just to suppress the symptoms.
The NeuroEquilibrium system has enabled me to do a scientific evaluation of these patients with the most advanced set of equipment. It is a robust system that carries out detailed evaluation in a systematic manner with active support at the back end.
The Neuroequilibrium App is interactive and responsive, providing the referring ENT Specialist as well as the patient with medication advice as well as corrective exercises.
The panel of ENT and Neurologist at Neuroequilibrium help me with their inputs to diagnose and plan the best treatment for our patients.
The Vestibular Rehabilitation Therapy given by NeuroEquilibrium has further helped in long-term rehab of the patients suffering from balance disorders and helped these patients become more steady reducing their risk of falls.
I would like to conclude by saying that the NeuroEquilibrium platform has helped me diagnose and scientifically treat vertigo patients. This has helped them to return more balanced and confident and help put an end to their long standing discomfort.
Consultant ENT Surgeon
This comprehensive approach and the diagnostic platform is very beneficial for medical practitioners to access the cause of balance disorders and to provide proper treatment and rehabilitation to the patient.
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