Dizziness is unpleasant, scary and often severely limits daily life. Dizziness is difficult to diagnose, even for the specialist. Hundreds of sensors and processing stations in the peripheral and central nervous system, muscles, eyes and the manifold influences of the circulation make the determination of the cause a challenge. Collaboration between the different disciplines is therefore essential. Our task as ENT doctors is to rule out causes in the equilibrium organ in the inner ear. In order to be able to classify your dizziness disorder beyond basic diagnostics, the KOPFZENTRUM Vestibular Lab at the Augustusplatz site offers modern computer-aided, non-invasive diagnostics. In recent years, the medical technology has made significant progress, so that it is now possible to determine the exact location of damage in the equilibrium organ of the inner ear. Of these findings, the efficient treatment of dizziness depends very much.
Video Head Pulse Test (V-KIT)
The video head impulse test is the most advanced method for measuring the function of the equilibrium apparatus. In contrast to the caloric test by cold and warm rinsing, which tests only a semicircular canal, the V-KIT allows the quantitative assessment of the functional condition of all 3 semicircular canals. Together with the VEMP (see below), even all 5 receptors in the organ of balance can be examined. In addition, malfunctions in the video head impulse test can still be detected, even if no more abnormalities show up in the caloric test. The procedure is not very stressful and takes only a few minutes, but it evaluates thousands of measurement results computer-aided.
Vestibular evoked myogenic potentials (VEMP)
VEMP measure the function of the so-called otolith organs in the inner ear and thus enable, together with the V-KIT, the examination of all 5 components of the equilibrium system in the inner ear. The investigation of VEMP can also confirm the suspected diagnosis of Meniere's disease.