Hear & Balance

Normal gait requires a proper function of the balance system. We feel unsteady, dizzy, or disoriented whenever something goes wrong with our ears (Infections, circulation problems, etc..) because our balance is controlled through signals going to the brain from:

  1. The eyes
  2. The inner ear (vestibular system)
  3. The sensory systems of the body (such as the skin, muscles, and joints).

Any damage to these organs or to the neural pathways between them and the brain will cause dizziness or vertigo.

Consultation regarding Balance problems:

It is advised to visit Dr. Nanor if you feel:

  • Dizziness: a sensation of light-headedness, or of losing your balance, or a sense of feeling unsteady.
  • Vertigo: a type of dizziness in which there is a sense of movement or spinning. Changing position, can make it seem worse. Vertigo may be accompanied by nausea and vomiting .
  • Repair of the eardrum
  • Hearing loss.
  • Tinnitus.


VNG, VHIT, cVEMP and oVEMP are all balance tests which are performed to determine:

  1. The cause of the symptoms
  2. Where the problem is in the balance system?
  3. What has changed in the balance system? Is it temporary or permanent?

VNG is done with a goggle fixed firmly over your eyes, tracking and recording your eye movements with camera.


The most common cause of vertigo is benign paroxysmal positional vertigo, or BPPV, which occurs when crystals in the inner ear become dislodged and move freely in the inner ear. BPPV is easily treated in the office by re-positioning your head in a certain way so that the crystals fall back into place.

Meniere’s disease:

One of inner ear disorders which manifest as spontaneous attacks of vertigo, pressure in the ear, hearing loss and a ringing sensation in the ear.

Vestibular Neuronitis:

Spontaneous Vertigo that develops over seconds, minutes or hours and is accompanied by nausea / vomiting, gait instability, nystagmus, and head motion intolerance and persists for a day or more review.


Treatment will depend on the diagnosis:

  1. Medication
  2. Repositining maneuvers
  3. Diet and lifestyle changing
  4. Surgery
  5. Physio therapy
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