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We will review your medical history and complete a thorough physical examination. Our audiologists will then administer more tests to determine what is causing your imbalance. Most often, balance problems are caused by the inner ear. The inner ear contains the labyrinth, which is a vital part of our balance system. It is in continuous relation with our eyes, bones and joints, helping the body to maintain its upright position. Our audiologists will use the following tests:

VNG – Videonystagmography

The patient will wear goggles that are equipped with advanced infrared cameras. These cameras monitor and record the patient's eye movements. Multiple tests will be administered, and the collected data will be compared to normal/average data.

VEMP – Vestibular Evoked Myogenic Potentials

Electrodes will be placed on the patient's head and neck while simulated sound is being projected. The electrodes will record the patient's vestibular nerve's movements. If movement isn't detected, trauma or injury can be detected.

This quarter’s patient spotlight highlights the journey of Mrs. Carmen Ramos through the Balance Clinic at CSHC. In December 2016, Mrs. Ramos was referred by her neurologist to the CSHC Balance clinic with a history of long-standing vestibular dysfunction, but with a recent increase in the severity of her symptoms. Diagnostic vestibular testing revealed severely impaired vestibulo‑ocular function, caused by a series of strokes, that left her with daily bouts of vertigo, marked instability, and at severe risk for continued falls. Once proper diagnosis was established, Mrs. Ramos was scheduled for vestibular rehabilitation to treat both her feelings of vertigo and her unsteadiness. CSHC vestibular therapists designed a rehab program for her needs. She attended therapy once a week and completed self-directed home exercises between therapy appointments. She was a model patient, and her hard work and diligence has paid off. Today, she can walk backwards down the stairs, balance on a tilted platform, and bounce balls in the air without dizziness or instability.