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Why vestibulardisorder.com?
vestibulardisorder.com is a website with a mission to educate about the subtle yet disabling symptoms that can follow even seemingly minor brain injury. This page is incorporated within the brain injury web advocacy of the Brain Injury law Group, a community of plaintiff's lawyers across the United States united by a common interest in serving the rights of persons with traumatic brain injuries and a common commitment to fully understanding the anatomic, medical and psychological aspects of brain injury.

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For a full treatment of the topic of brain injury, and recovering adequate compensation for those who have survived such injury, please visit our other pages. subtlebraininjury.com
A comprehensive treatment of brain injuries and concussion, which did not result in loss of consciousness, what we call Subtle© Brain Injury. A large portion of those with Subtle Brain Injuries, have suffered some injury to the vestibular system. tbilaw.com A general treatment of all types of brain injury, including severe brain injury and concussion, with a special focus on the legal aspects of recovering full and adequate compensation for such injuries. tbilaw.com has been at the cornerstone of the web advocacy of the Brain Injury Law Group since it went online in 1996.

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Attorney Gordon S. Johnson, Jr.

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For a listing of the numerous disease and associated health conditions that can cause dysfunction of the vestibular system, go to:

Vestibular Resources

When should an ENG be administered? According to the American Academy of Neurology's Practice Parameter on the Use of ENG the ENG should be considered:

"When the physician suspects a vestibular disorder, electronystagmography may provide useful information regarding reduced function in one or both ears or an inbalance between the two ears. Symptoms suggestive of a vestibular abnormality include vertigo, dizziness, and dysequilibrium."

The AAN, while clarifying that not all patients with complaints of dizziness or dysequlibrium require an ENG, it should be considered when one of the following are present:

  • Meniere's Disease
  • Vestibular Neuritis
  • Recurrent Vestibulopathy
  • Migraine associated dizziness
  • Benign Paroxysmal Vertigo of Childhood
  • Labyrinthe Ischemia
  • Chemical Induced Vestibulotoxicity

In our experience, from a forensic standpoint in non-coma brain injury cases, this is perhaps the single most useful test. It provides what the defense will call "objective evidence" of abnormality, in the highest percentage of cases. In contrast to MRI and CT scans which are normal in the vast majority of Subtle© Brain Injury cases, the ENG is often abnormal. And while in persistant vertigo and dizziness cases, such abnormality may not necessarily point to a classical vestibular diagnosis, it will often indicate significant neuropathology in either the cranial nerves or the brainstem.

 

When Should an ENG be Administered?

 

 

 

 

 
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