Comprehensive Vestibular Assessment in South-East Melbourne
At Hearclear Hearing Solutions Pty Ltd, we provide comprehensive vestibular assessment for patients experiencing dizziness, vertigo, imbalance and balance-related symptoms.
Our vestibular testing service assists GPs, specialists and patients in the investigation of vestibular and balance disorders using objective vestibular test results.
Vestibular reports are overseen and signed by a consulting neurologist.
Our Locations
Main Hearclear Clinic / Contact
Hearclear Hearing Solutions Pty Ltd
Casey Medical Centre
1 Morison Rd
Clyde VIC 3978
Vestibular Testing Location
Southeast ENT
509 Princes Hwy
Narre Warren VIC 3805
Phone: 0499 797 949
Email: hearclearhere@gmail.com
Website: www.hearclearhearing.com.au
Who Should Consider Vestibular Assessment?
Vestibular assessment may be recommended for patients experiencing:
- Dizziness
- Vertigo
- Spinning sensations
- Imbalance
- Unsteadiness
- Falls or near falls
- Motion sensitivity
- Recurrent positional vertigo
- Ongoing balance symptoms
- Persistent dizziness despite normal imaging
- Suspected inner ear balance disorder
Vestibular testing provides objective information about how the balance organs, eye movement pathways and vestibular reflexes are functioning.
Conditions Commonly Assessed
Vestibular assessment may assist in the investigation of conditions such as:
- Benign Paroxysmal Positional Vertigo (BPPV)
- Vestibular neuritis
- Labyrinthitis
- Vestibular migraine
- Ménière’s disease
- Superior Canal Dehiscence Syndrome (SCDS)
- Bilateral vestibular hypofunction
- Persistent Postural-Perceptual Dizziness (PPPD)
- Chronic vestibular dysfunction
- Unexplained dizziness and imbalance
What Tests Are Included?
The exact test battery may vary depending on the patient’s symptoms, history and clinical presentation.
VNG / Oculomotor Testing
VNG and oculomotor assessment evaluates eye movements and vestibular-related visual pathways.
This may include:
- Spontaneous nystagmus testing
- Gaze testing
- Random saccades
- Smooth pursuit
These tests help assess eye movement control and may provide information about peripheral or central vestibular involvement.
Positional Vertigo Testing
Positional testing is used to assess vertigo triggered by changes in head position.
This may include:
- Dix-Hallpike manoeuvre
- Lateral head roll test
These tests are commonly used in the assessment of BPPV, one of the most common causes of vertigo.
Video Head Impulse Test
Video Head Impulse Testing, also known as vHIT, assesses the vestibulo-ocular reflex.
The vestibulo-ocular reflex helps keep vision stable when the head moves. vHIT provides information about semicircular canal function and can assess all six semicircular canals.
vHIT may assist in the assessment of:
- Vestibular neuritis
- Unilateral vestibular hypofunction
- Bilateral vestibular hypofunction
- Chronic vestibular disorders
cVEMP and oVEMP Testing
Vestibular Evoked Myogenic Potential testing assesses otolith pathway function.
cVEMP assesses saccular function and the inferior vestibular nerve pathway.
oVEMP assesses utricular function and the superior vestibular nerve pathway.
VEMP testing may assist in the investigation of otolith dysfunction and conditions such as Superior Canal Dehiscence Syndrome.
Caloric Vestibular Assessment
Caloric testing is available when clinically indicated.
This test provides low-frequency assessment of horizontal semicircular canal function and may assist in cases where additional vestibular information is required beyond vHIT findings.
Caloric testing may be considered in the investigation of:
- Vestibular neuritis
- Unilateral vestibular hypofunction
- Ménière’s disease
- Chronic vestibular disorders
- Complex or unclear vestibular presentations
What Does the Report Include?
Following assessment, a comprehensive report is provided to the referring practitioner.
The report may include:
- Relevant clinical history
- Objective vestibular test findings
- Interpretation of results
- Clinical impressions
- Recommendations for management or referral where appropriate
Vestibular reports are overseen and signed by a consulting neurologist.
Referral Information
A referral from a GP or medical specialist is required for Medicare rebates where eligible.
For vestibular function testing, referrals should be addressed to:
Dr Nicholas Yang
Southeast ENT
509 Princes Hwy
Narre Warren VIC 3805
Patients can then book their vestibular assessment through Hearclear Hearing Solutions.
Please contact us before booking if you would like to confirm referral requirements, fees or rebate eligibility.
For GPs and Specialists
Vestibular assessment may be useful for patients with:
- Acute or chronic dizziness
- Recurrent vertigo
- Suspected BPPV
- Vestibular neuritis or labyrinthitis
- Vestibular migraine
- Ménière’s disease
- Falls, imbalance or motion sensitivity
- Suspected Superior Canal Dehiscence Syndrome
- Persistent symptoms despite normal imaging
- Unexplained dizziness or imbalance
Objective vestibular test results can assist with diagnosis, management decisions and referral planning, including ENT, neurology or vestibular physiotherapy pathways.
Download Referral Form
GPs and specialists can download the vestibular referral form below.
Book a Vestibular Assessment
To book an appointment or discuss whether vestibular testing may be appropriate, please contact Hearclear Hearing Solutions.
Phone: 0499 797 949
Email: hearclearhere@gmail.com
Website: www.hearclearhearing.com.au
Main clinic / contact:
Hearclear Hearing Solutions Pty Ltd
Casey Medical Centre
1 Morison Rd
Clyde VIC 3978
Vestibular testing location:
Southeast ENT
509 Princes Hwy
Narre Warren VIC 3805
Important Medical Note
If you are experiencing sudden severe dizziness with symptoms such as facial drooping, weakness, difficulty speaking, severe headache, chest pain, fainting or sudden loss of coordination, seek urgent medical attention immediately.
Before your appointment
For your safety, please let us know before your appointment if you have a history of significant neck or spinal problems, recent neck surgery, arterial dissection or retinal detachment.
Most patients can proceed with testing as normal. In some cases, written medical clearance from your GP or specialist may be required before testing. Medical clearance form is available for download.
Please contact us before your appointment if you are unsure.