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