Vestibular Evaluation — Electronystagmography, Rotational Testing, and Posturography

This report describes a battery of tests that is utilized by several clinical laboratories to investigate vestibular and balance function. The electronystagmogram evaluates eye movements, inner ear function, brainstem function and cerebellar function. Sinusoidal vertical axis rotation is a sensitive measure of horizontal semicircular canal function that is often complimentary to the caloric stimulation portion of the electronystagmogram. Visual-vestibular interaction rotation testing is designed to evaluate brainstem, cerebellar and oculomotor function. Dynamic posturography facilitates measurement of standing balance and permits a quantification of the role of proprioception, vision and the vestibular system in the maintenance of standing balance.