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We find our patients benefit most from our three level evaluation. 

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Understanding how you experience your problem.

understanding balance problems  (48K)Based on your answers to our feedback form, a physician on staff at the Center who is a board certified specialist with a particular interest and expertise in balance problems will review with you in depth your experience with your problem.

A complete examination

A physician with a particular interest and expertise in balance problems and who is a board certified specialist on staff at the Center will evaluate the function of your specific senses/systems that relate to balance and stability. Methods of examination include:

Evaluating the ear canal, drum and space deep to the drum with a surgical microscope. (32K)Evaluating the ear canal, drum and space deep to the drum with a surgical microscope.
Listening for sounds (tinnitis) that may originate deep in your ear with an amplifying stethoscope. (50K)Listening for sounds (tinnitis) that may originate deep in your ear with an amplifying stethoscope.
Eye movement is very helpful in assessing balance system health. (43K)Observing eye movements after various balance system stimuli while you wear special goggles that allow your examiner to see better how your eyes move. Eye movement is very helpful in assessing balance system health.
Observing the changes which occur in pulse and blood pressure when you move rapidly from a lying to a sitting position.
Scanning the back of the eye. (48K)Scanning the back of the eye.

 

Laboratory investigations

We offer the following tests as needed.

response to changes in position, changes in inner ear fluid density, and pursuit of visual images and spinning (46K)Video-infrared-nystagmography (VIN) -- Television cameras track eye movements in the dark to see if you do or don't have normal response to changes in position, changes in inner ear fluid density, and pursuit of visual images and spinning.
Transtympanic Electrocochleography (tt-EcoG) -- A sensitive measure of inner ear electrical activity, changes in which can suggest to the examiner that there is too much pressure or that there is a leak of fluid (hydrops / perilymph fistula).
A person's stability is measured when their eyes are either open or closed or the ground on which they stand is stable or moving (46K)Analysis of Balance Index (CBI) -- Measures a person's total balance system function. A person's stability is measured when their eyes are either open or closed or the ground on which they stand is stable or moving. Similarly, their ability to see clearly is measured when they see the same target both when they stand on a stable surface with their head fixed and when there is head motion and the ground on which they stand moves.
Fistula Electroacoustic Impedance (FEI) -- The pressure in the ear canal is varied with a person standing on an unstable surface while the examiner searches for abnormal eye motion and sway.
Brainstem Auditory Evoked Response Analysis (BAER) -- A person hears sounds at different rates, and the examiner analyzes the brainstem electrical discharges that accompany the sounds to identify if the brainstem passes these signals too slowly or in too disorganized a manner.
Complete Audiological Evaluation -- You may not hear sounds or understand them, or you may have difficulty hearing in a noisy environment.

Tests are done to see how your inner ear functions, how the circuits between your inner ear and your brain work and how your brain processes "messages". Abnormalities in one or more of these areas may help your physician understand why you are having the balance and / or hearing problem that bothers you.
 
 
Mission: To provide a resource center for people who have had their lives diminished because of dizziness, poor balance or sudden hearing loss where their problem and the treatment options are analyzed in a comprehensive and caring  manner.
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