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Brain Injury Law Group, S.C.

Attorney Gordon S. Johnson, Jr.

212 Whitetail Run Ln.
Sheboygan, WI



When to Administer an ENG?

By Attorney Gordon Johnson

Call me at 800-992-9447


When is an ENG called for? 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.


Contact Attorney Gordon Johnson: 1-800-992-9447

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Brain Injury Law Group

Call Attorney Gordon Johnson — 800-992-9447

The Brain Injury Law Group is involved with a network of plaintiff's trial attorneys across the United States united by a common interest in serving the rights of persons with brain damage and neurological damage related disability. We share a common commitment to fully understanding the anatomic, medical and psychological aspects of cerebral palsy and other brain damage and neurological damage related disability. This network of lawyers are not part of a national law firm. We have separate law practices and are licensed to practice only in our home states.

The Brain Injury Law Group is here to listen and for that reason we maintain an 800 number and a staff willing to discuss your case and legal information where appropriate. There is no charge to call. We only represent people on a contingent fee basis and charge a fee only when we recover for the client. For more on Attorney Gordon Johnson, click here.