Neuro-Otology ( Vertigo & Hearing Clinic )

Best Neuro-Otology Hospitals in Saltlake, Kolkata

The Department of Neuro-otology at Manipal Hospitals, Salt Lake, focuses on diagnosing, treating and managing disorders of the inner ear, balance system and cranial nerves. Equipped with cutting-edge diagnostic tools and treatments, our experts efficiently perform accurate assessments and effective interventions. We ensure comprehensive care for patients with conditions affecting hearing, balance and neurological functions.

OUR STORY

Know About Us

Why Manipal?

At Manipal Hospitals, Salt Lake, we are at the forefront of providing customised care for patients with neuro-otological disorders. We leverage advanced diagnostic tools like videonystagmography (VNG), high-resolution MRI, etc., for precise assessment. Trained from eminent institutions, our experts also hold advanced surgical excellence in various treatments, such as Endoscopic Ear Surgery and Skull Base Surgery.

The Department of Neuro-otology is supported by a team of seasoned ENT specialists, trained neuro-otologists, skilled neurologists, experienced audiologists, speech and language pathologists, and dedicated rehabilitation therapists. This collaborative approach ensures providing patients with comprehensive evaluations and coordinated treatment plans. With world-class medical expertise and a commitment to the latest advancements in Neuro-otology, we take pride in being a trusted name in Neuro-otology care.

Facilities & Services

Diagnostic Procedures: Videonystagmography (VNG), Video Head Impulse Test (VHIT), Cervical & Ocular Vestibular Evoked Myogenic Potentials (cVEMP & oVEMP)

Therapeutic Maneuvers: Epley’s & Semont’s Maneuvers for Benign Paroxysmal Positional Vertigo (BPPV)

Surgical Interventions for Balance Disorders: Posterior Semicircular Canal Occlusion, Vestibular Neurectomy

FAQ's

What does Neuro-otology involve?

Neuro-otology, also known as Otoneurology, is considered a medical discipline closely related to Ear, Neck and Throat (ENT), and Neurology. The branch specialises in identifying and treating disorders that affect the auditory systems and the balance. The field specifically focuses on patients experiencing ear conditions, from common to complex, such as:

Hearing loss
Chronic ear infections
Neurological disorders like acoustic neuromas, chondrosarcomas in the base of skull, facial paralysis from the middle ear, etc
Meniere’s disease
Vertigo and imbalance disorders
Tinnitus
Psychogenic vertigo
Complex headaches and migraines

When should I visit a Neuro-otologist?

You may need to consult a neuro-otologist if you are experiencing the following symptoms:

Sudden/progressive hearing loss
Facial paralysis
Balance problems, eg, dizziness, headaches, etc.
Taste and smell disturbances
Noise/ringing in the ears
Spontaneous eye ball movement (nystagmus)

What types of treatments are often prescribed by an oto-neurologist?

Depending on the severity of the diagnosis, treatments prescribed may include:

Conservative treatment, e.g., medications, lifestyle modifications
Manual therapy, e.g., Epley’s and Semont's maneuvers for benign paroxysmal positional vertigo (BPPV)
Therapeutic exercises and Physiotherapy

In case these treatments do not work, surgical interventions are recommended. These may include procedures like Posterior Semicircular Canal Occlusion, Vestibular Neurectomy, etc.

What happens before a neuro-otological procedure is performed?

Before undergoing any neuro-otological-related procedures, experts need to make sure that you have no ear infections. Several tests, including hearing and other ear examinations, are performed. In some cases, a head CT scan is also carried out. Patients may need to stop consuming certain medications, such as aspirin or anti-inflammatory drugs, at least a week before the scheduled date of the procedure.

What usually happens during the consultation with a neuro-otologist?

During your consultation, a detailed medical history and symptom evaluation are performed. Based on the discussion, a series of tests to assess balance, co-ordination and inner ear function is carried out. Advanced diagnostic tests are also performed if necessary to gain a complete picture of the diagnosis. Once the evaluation is completed, treatment plans are discussed, including dietary and lifestyle changes, exercises and regular follow-ups.

What usually happens in a videostagmography (VNG) procedure?

VNG is a diagnostic procedure that helps in evaluating dizziness and balance disorders. The test involves measuring involuntary eye movements, also called nystagmus. The procedure is used to identify if you have a vestibular system disorder or diagnose problems with nerves or parts of the brain that control balance.

During the VNG procedure, the patient is made to sit in a dark room wearing special goggles that have a camera, which helps in recording eye movements. The test consists of three parts

Ocular testing: Patient is told to watch different flashes or dots of lights without moving their head
Positional testing: Patients are told to move their head or body in various positions to see if any particular movements cause nystagmus
Caloric testing: Experts will put cool water or air into your ear to see if you have spontaneous eye movements. This test can help detect any inner ear damage or part of the brain that controls coordination and balance.

How do I know if my dizziness is caused by an inner ear problem?

Dizziness related to the inner ear (vestibular system) often feels like:

Vertigo that can last from minutes to days with or without headache.
Unsteadiness or imbalance
Benign paroxysmal positional vertigo (BPPV), which involves intense dizziness when moving the head or while turning over in bed or sitting up.
Nausea and vomiting.

What are Epley’s and Sermont’s manoeuvres?

The Epley’s and Semont’s manoeuvres are a series of head movements designed to relieve symptoms of Benign Paroxysmal Positional Vertigo (BPPV), an inner ear disorder. BPPV occurs when canaliths—small, calcium carbonate particles in the inner ear—become dislodged and move freely within the semicircular canals. This disrupts the inner ear's signals to the brain, leading to dizziness and vertigo. Epley’s and Semont’s manoeuvres help reposition these canaliths, moving them out of the affected canal to restore normal balance and alleviate symptoms.

How can I book an appointment with a specialist in the Department of Neuro-otology at Manipal Hospitals, Salt Lake?

You can book an appointment with a specialist in the Department of Neuro-otology at Manipal Hospitals, Salt Lake, by telephone or by visiting our website to make an appointment.

Visit: https: /www.manipalhospitals.com/saltlake/specialities/neuro-otology/
Contact no: 033 6907 0001

Neuro-Otology ( Vertigo & Hearing Clinic )

Best Neuro-Otology Hospitals in Saltlake, Kolkata