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Penn Medicine's Balance and Dizziness Center provides diagnosis and treatment of disorders related to balance, dizziness, vertigo and equilibrium. Penn clinicians have decades of experience diagnosing and treating even the most difficult cases. Their multidisciplinary approach draws on expertise of various specialists from many fields to diagnose and treat the most complex cases of disequilibrium.
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The Balance and Dizziness Center, part of Penn Ear, Nose and Throat since its inception in 1993, is the only one in the region that offers a full array of state-of-the-art balance testing aimed at providing diagnosis and treatment information. The Hospitals of the University of Pennsylvania/Penn Presbyterian has been ranked by U.S. News & World Report as one of the top hospitals in the county for Ear, Nose & Throat.
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Unlike facilities that provide one or two diagnostic tests aimed at diagnosis, Penn provides a true comprehensive assessment that aims at not only diagnosing the abnormality but determining the level at which the patient has compensated. Functional and physiologic compensation levels vary, and they are why two patients with the same disorder have very different symptoms. Once diagnosis is made and compensation status is evaluated, an individualized treatment plan can be created.
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Balance testing begins with a thorough understanding of a patient's symptoms and history. Patients complete a comprehensive questionnaire, and the vestibular specialist conducts a detailed interview with each patient. Depending on your history and symptoms, we will determine which battery of tests is best for you to diagnose your abnormality and establish to what degree you may or may have not compensated so that a treatment plan can be created.
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Some inner ear disorders can manifest as both dizziness and hearing deficits. Tone and speech audiometry assessments will demonstrate the type and degree of hearing loss, as well as word discrimination abilities. Acoustic immittance assessments provide information regarding the integrity of middle ear mechanisms.
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The rotational chair test evaluates how the inner ear responds to various types of motion and provides information about physiologic compensation status. In cases where both inner ears are weak, this test can give insight into the extent of the bilateral weakness. Rotational Chair studies expand upon the information obtained during the VNG and is also beneficial in creating treatment plans to promote compensation.
