Patients of Vertigo / Imbalance should see a Neuro otologist / Oto neurologist first – i. e. an ENT specialist skilled in Otology (Examination of the inner ear balance organ) doing computerised electronystagmography (CENG) with caloric testing, the “Gold standard” for balance disorders.
Only after this test will it become clear whether an MRI brain with angio etc. is necessary.
Later, a complete clinical examination of the central nervous system may be done at the clinic like Higher functions, Cranial nerves, Motor system, Deep tendon reflexes, Sensory system, Cerebellum, Stance and Gait & Fundoscopy. Only after these, EMG, NCV and SSEP etc. may be necessary.
Assessment of hearing function by Pure Tone Audiometry and Middle ear pressures by Acoustic Impedance Bridge. Suggestion on treatment of conductive deafness and sensori neural hearing loss. Treatment by different types of hearing aid with pictures.
Allergy Testing using approximately 250 Prick test allergens. The skin prick test is the most recommended for allergy testing and has stood the test of time as compare to recently introduce RAST test. Computerised reporting and allergen selection for vaccine. Report print outs in English, Gujarati, Hindi, Marathi, Bengali.