Examination of a vertiginouspatientCompleteotological/neurologicalexaminationMiddleearnormal?HallpikeinBPPVNystagmusCerebellartestsRomberg,UnterbergertestGaitassessment2026/2/266
2026/2/26 6 Examination of a vertiginous patient • Complete otological/neurological examination • Middle ear normal ? • Hallpike in BPPV • Nystagmus • Cerebellar tests • Romberg,Unterberger test • Gait assessment
Investigations of a vertiginouspatientAudiovestibularinvestigationsPuretoneaudiometryEvoked Response Audiometry (also k/aABR,BERA)Caloric test,Electronystagmography(ENG)Posturography MRl with gadolinium enhancementOther investigatons according to suspectedcause2026/2/26
2026/2/26 7 Investigations of a vertiginous patient • Audiovestibular investigations : Pure tone audiometry, Evoked Response Audiometry (also k/a ABR, BERA) Caloric test, Electronystagmography (ENG) Posturography • MRI with gadolinium enhancement • Other investigatons according to suspected cause