Vestibular Testing
You complete this testing in 3 positions Left Gaze, Primary Gaze and Right Gaze
What is Nystagmus Testing?
Patients with this neurodegenerative disorder often have complaints of vertigo (20%) and imbalance (75%).
What is MS?
Creates a vestibular hypofunction but also has acute hearing loss and tinnitus.
What is Vestibular Labyrinthitis?
Direction changing gaze evoked nystagmus
What is a Central Disorder?
Ringing in the ears
What is tinnitus?
During the Head Thrust Test, this eye movement indicates a peripheral vestibular deficit when observed as the head is rapidly turned.
What is a corrective saccade
Patient presents with vertigo (nausea and vomiting) ptosis, ipsilateral ataxia and sensory issues with contralateral on limb and ipsilateral on face
What is posterior inferior cerebellar artery CVA?
Patient presents with pressure sensitivity during coughing and while having a bowel movement, Imbalance, hearing loss and sound sensitivity
What is Superior Canal Dehiscence?
Gaze evoked nystagmus is unidirectional no matter what direction they look at.
What is a Peripheral disorder?
This term describes the illusion of a bouncing or moving visual field, often reported by patients with bilateral vestibular loss.
What is oscillopsia?
This test uses warm and cold air to manipulate the fluid in the horizontal canal to isolate the ear and indicate the relative function of each ear.
What is caloric testing?
Symptoms are often progressive with exertional headaches at the base of the skull, oscillopsia, neck pain, imbalance, and weakness in the arms
What is Chiari Malformation?
Commonly caused by use of gentamicin and is often permanent
What is bilateral vestibular hypofunction?
Spontaneous Nystagmus is mixed horizontal and torsional.
What is a Peripheral Disorder?
Feeling pressure in the ears
What is Aural Fullness
This test looks at the alignment of the eyes and when one eye has to realign it is indicative of a central vestibular issue
What is the Test of Skew?
This diagnosis often affects women 5 times more than men, and the typical feature is spontaneous or positional vertigo that lasts as long as one is in that positionl
Vestibular loss is gradual and involves progressive sensorineural hearing loss, unilateral tinnitus and imbalance
What is Vestibular Schwannoma?
Spontaneous nystagmus is vertical with no torsion
What is a Central Disorder?
Loud sounds that cause vertigo
What is Tullio Phenomenon?
Theses 3 tests make up the HINTS exam used to differentiate central from peripheral causes of vertigo and indicate the need for neuroimaging.
What are the Head Impulse Test, Nystagmus Assessment and Test of Skew?
A vestibular diagnosis that is a functional neurological diagnosis that is often initially healing through acute adaption and then there is a maladaptation that is perceived as dizziness and instability
What is PPPD?
Patient experiences 2 or more episodes of spontaneous vertigo lasting 20 minutes to 12 hours, has documented low to medium frequency sensorineural hearing loss, and fluctuating tinnitus and fullness.
What is Meniere's Disease?
When visual fixation is removed the nystagmus is increased.
What is a Peripheral Disorder?
Occur in late stages of peripheral disorder diseases and are conscious violent drop attacks where the patient feels that they are being pushed with no warning
What are Events of Tumarkin?