In addition to a comprehensive hearing evaluation, Trinity Health may recommend balance tests to assess vestibular balance disorders. "Vestibular" refers to parts of the inner ear and brain that process sensory information involved with controlling balance and eye movements. If these processing areas are damaged, vestibular disorders can result.
Balance Tests
- ENG (electronystagmography): Testing that uses a reflex between the inner ear and the eyes to measure function of the vestibular nerve and oculomotor nerve. This testing includes several positional tests of the body. We also put water in the ear canals to activate the balance system on each side independently.
- VEMP (vestibular evoked myogenic potential): Testing that can be used in differential diagnosis or monitoring of certain conditions that cause vertigo. This includes using acoustic stimuli to measure an involuntary vestibular response.
- ECoG (electrocochleography): Testing that measures for an over-accumulation of fluid in the inner ear. This includes using an acoustic stimulus to observe a specific characteristic of the auditory brainstem response.
Treatment/Referrals
- ENT for conditions related to the inner ear and vestibular system
- Physical therapy for vestibular rehabilitation treatment and to improve overall function
- Neurology for central findings not originating in the inner ear
- Cardiology for symptoms stemming from blood pressure and circulatory issues, neither central nor peripheral