Balance Disorders And Migraine Treatment
Inputs from the eyes, inner ears and proprioceptive
system maintains the balance system of our body.
These three systems send signals to the brain for proper co-ordination and
maintenance of balance. A neurotological evaluation encompasses an evaluation
of functioning and co-ordination of these systems. Any disturbance in the
harmonious and regular functioning of these systems is Balance Disorder and is diagnosed by our
neurotological team.
The clinical tests which are done for evaluation of the
balance or vestibular system include:
·
Video Frenzel for evaluation vestibulo-ocular reflex –
spontaneous, pendulum, saccades, gaze induced nystagmus, head impulse test
,head shaking test;
- Electronystagmography
(ENG) - This is an investigation to evaluate the vestibulo ocular reflex
(VOR) which is involved in maintenance of balance. Recording of the
following tests are done to evaluate peripheral and central vestibular
function:
- Spontaneous
nystagmus
- Gaze
evoked nystagmus
- Saccades
- Pendulum
test
- Optokinetic
stimulation
- Caloric
stimulation
- Fistula
test
- Craniocorpography
with SLR camera - This is a test is evaluate the vestibulospinal reflex
which is responsible for maintenance of balance during motion. We do
various tests including:
- Romberg
test
- Sharpened
Romberg test
- Tandem
walking
Unterburger’s test -
Pictorial reports are given to the patient. In Unterburger’s test, the
following points are evaluated:
- Displacement
- Sway
- Angle of deviation
- Body axis spin
·
Evaluation of center of balance and maintenance of
posture.
Vestibular exercises are essential to improve the compensation of the brain
in recovering from disturbances in the balance system. This clinic is amongst
the very few centers around the world where exercise programs are tailor-made
to the requirements of each patient.
They have specialised services for patients of sudden hearing loss.
Intratympanic injection [injection in the ear] is done in by a painless
technique to improve hearing. Treatment of sudden hearing loss must be quick
and effective and the final results becomes drastically poorer with time. The
sooner treatment is started , the better is the final result to the hearing disorders.
A migraine headache causes throbbing or pulsating
pain, usually on only one side of the head. These headaches are often
associated with nausea, vomiting, and extreme sensitivity to light and sound;
they generally last between four hours and three days. Migraine treatment available here in
vertigo and ear clinic is the best among all the other treatments available in
other clinincs.
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