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Question

I had the VNG test done today at the ENT doctor. When the cold air was put in the right ear... it caused extreme dizziness and my eye was jerking very rapidly. The audiologist showed me the video of my eyes jerking. If your eyes are doing this during the test.. does this show there is an inner ear problem or not necessarily?? The audiologist would not give me any results. I go back Monday to get results. I am just really curious what is causing this constant lightheaded feeling! Will this show if there is a neurological problem?? I had a CT scan which was fine! Just curious...

Submitted: 24 days and 8 hours ago.
Category: Health
Value: $30
Status: CLOSED
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Optional Information

Gender: Female
Age: 26

Posted by Dr. Arun Phophalia 24 days and 8 hours ago.

Answer

Greetings.

 

Videonystagmography (VNG) is often used in the evaluation of a patient who presents with dizziness (vertigo) and uses the vestibular-ocular reflex to indirectly measure vestibular (inner ear or balance) function. VNG tests for nystagmus (eye movements) use infrared light and video technology to monitor eye movements during testing. Abnormal eye movements may denote inner ear balance problem. But it is to be remembered that this test alone is not very conclusive for the specific diagnosis. It just can show inner ear problem, which may relate to balance and dizziness. With your CT scan being normal, the abnormal movements of the eye are not likely to be related to the brain or to neurological problem.

 

Please feel free for your follow up questions.

 

Dr. Arun



Edited by Dr. Arun Phophalia on 10/29/2009 at 6:55 PM

24 days and 7 hours ago.

Reply

But, when I had the jerks in my eyes almost constantly this morning during the cold air being in my ear.. does this show automatically that there is something wrong with the inner ear, or no? Do all patients who have this test have the jerks in their eyes..even with no inner ear problem?

Accepted Answer

Hello,

 

Nystagmus or involuntary jerking of the eye is very less in healthy/normal people. In people with balance problem (due to inner ear problem / Ménière Disease), this jerking is significant.

 

It is pleasure and privilege assisting you.

 

Dr. Arun

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Expert: Dr. Arun Phophalia
Pos. Feedback: 99.6 %
Accepts: 
Answered: 10/30/2009

Doctor (MD)

MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

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