Our Balance Center offers a team-oriented approach to diagnosing and treating disorders of the pediatric vestibular (balance) system. Children may be born with a balance disorder. A child may also develop a balance disorder later.

Conditions Treated

  • Dizziness or lightheadedness
  • Spinning sensation (vertigo)
  • Sensorineural hearing loss
  • Inner ear anomalies
  • Migraine with dizziness
  • Motor delays
  • Difficulty walking
  • History of ototoxicity (from medication exposure)
  • Motion sickness
  • Head injuries
  • Frequent falls for unknown reasons

Testing

We offer tests that help figure out what is causing your child’s symptoms. These are some of the tests that we may use:

Test Type Testing Methods
Videonystagmography (VNG)
  • Your child will wear a "scuba mask" type of headgear. They will be asked to follow a character on a screen and to move into different positions. A camera will record your child’s eye movements.
Platform Posturography Test
  • The child stands on a special platform that measures their natural sway (movement while balancing).
Rotational Testing
  • Your child will sit on a gently turning chair. A camera is used to record their eye movement. Smaller children are tested while sitting on a caregiver’s lap or in a car seat.
Vestibular Evoked Myogenic Potentials (VEMPs)
  • Your child will lay in a chair while holding up their head in this test. Small electrode stickers are used to measure muscle changes in the neck. Also, sticker electrodes are used to measure movement from the eye muscles.
Video Head Impulse Test (vHIT)
  • Your child will wear special glasses in this test. Eye response during head movement will be measured.

Why Refer to Us?

Our multidisciplinary team works together to evaluate and prescribe the best treatment for your child. This collaboration involves:

  • An otolaryngologist (ENT doctor) diagnoses and treats the balance disorder. They order testing.
  • An audiologist tests the health of the balance system.
  • A physical therapist recommends and provides therapy if needed. Please visit Vestibular Rehabilitation for more information.

Other specialists may be included in your child’s balance assessment if needed. They may include specialists from neurology, oncology, psychology, and neurosurgery.