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A brochure designed to educate the Doctor and Specialist about the company, who we are , our services, the leadership team, gives a low down on the international tests conducted at our various centres, our latest equipments used , online counselling, also touches on our locations in Pan India.
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About Us NeuroEquilibrium is the world's largest chain of dizziness clinics, with super-speciality clinics established at prominent government and multi-speciality corporate hospitals, ENT clinics, and neurology speciality centres across 50+ cities in India. At the heart of our innovative approach lies our deeptech platform, which seamlessly integrates cloud technology, computer vision, clinical decision support system, a remote diagnostic platform, and our proprietary diagnostic equipment and systems. This holistic integration empowers our partner clinics to deliver accurate diagnoses and personalised treatment plans, revolutionising the way dizziness and balance disorders are managed. • The clinical team is led by Dr. Anita Bhandari • Director, NeuroEquilibrium • Neurotologist and ENT surgeon • M.S. [ENT] from SMS Medical College, Jaipur, India • Former Assistant Professor,SMS Medical College • Granted 7 patents for diagnostic equipment in the field of diagnosis and rehabilitation of vertigo and balance disorders • Author of an e-book on BPPV, an authoritative book on diagnosis & treatment of various types of BPPV • Member Barany Society • Associate Editor, Frontiers in Neurology
Vertigo, Dizziness & Balance Disorders 6 crore people in India sufer from vertigo. Common Symptoms • Dizziness • Imbalance • Recurrent Falls • Unsteadiness • Vertigo • Headache with spinning sensation → 15% of the population has Dizziness and Balance Disorders. → 30% of the population is afected by dizziness during their lifetime. → 65% of people over 60 years experience dizziness or imbalance, often on a daily basis. The root cause for these symptoms could be attributed to any of the 40 underlying diseases of the ear and brain • BPPV - 14 sub-types • Meniere’s Disease • Vestibular Migraine • Vestibular Neuritis • Labyrinthitis • Meniere’s Migraine Spectrum • Otolith Disorder • Presbyastasia • Vestibular Schwannoma • Perilymph Fistula • Ototoxicity • Cerebellar Disorders • Vestibular Paroxysmia • Visual Vertigo • Posterior Circulation Stroke • Labyrinthine Concussion • Vestibular Epilepsy • Orthostatic Hypotension • Drug Induced Dizziness • Otolithic Drop Attacks • Spino-Cerebellar Ataxia • Ataxia • Functional Dizziness • Phobic Postural Vertigo • Malingering • TMJ Disorders • Chronic Vestibular Insufciency • Multiple Sclerosis • Vestibulo-Ocular Reflex Disorder • Unilateral Peripheral Vestibulopathy • Central Positioning Nystagmus • Superior Semicircular Canal Dehiscence • Post-BPPV Residual Dizziness • Persistent perceptive positional vertigo (PPPD) • Autoimmune inner ear disease • Postural Orthostatic Tachycardia Syndrome • Bilateral Peripheral Vestibulopathy • Mal de Debarquement syndrome (MdDS) • Vestibulospinal Dysfunction
Specialised Vestibular Tests Latest state of the art specialised tests at our clinics- 1. Advanced Videonystagmography (VNG) NeuroEquilibrium VNG is the most advanced technology to evaluate the vestibular and oculomotor systems in a non-invasive and accurate way. This cutting-edge equipment eliminates contamination by myogenic and electrical noise seen in ENG. NeuroEquilibrium Video Nystagmography evaluates peripheral and central vestibular functions through the following protocols: • Spontaneous nystagmus - with and without optic fixation • Gaze evoked nystagmus • Saccades - Random Target Movement • Smooth tracking - with varying frequencies • Head shaking test • Caloric test • Positional tests - Dix-Hallpike Test, Supine Head Roll and Deep Head Hanging • Valsalva and Hyperventilation induced nystagmus • Skew deviation 2. Caloric Irrigator The Caloric test is the gold standard in vestibular testing for over 100 years. NeuroEquilibrium Caloric Irrigators are used in combination with the VNG machine to conduct caloric tests on patients with dizziness.
3. Subjective Visual Vertical (SVV) For detection of abnormal subjective tilt Subjective Visual Vertical (SVV) is an investigation to evaluate the otolith system, which is responsible for perception of verticality. Static and Dynamic SVV are useful to: • Assess otolithic disorders • Assess chronic dizziness • Decide side of peripheral vestibular insult during the acute stage • Diagnose compensated vestibular disorders • Assess efect of rehabilitation 4. Computerized Dynamic Visual Acuity (DVA) Dynamic Visual Acuity is used for: • Evaluation of the Vestibulo-Ocular Reflex (VOR) • Early detection of vestibulotoxicity • Detection of Bilateral Peripheral Vestibulopathy • Rehabilitation tool • Assessing outcome of rehabilitation How it Works: DVA assesses the function of the VOR in maintaining the image on the fovea of the retina during head movement. Defective VOR results in slippage of image resulting in blurring of vision.
Vestibular Rehabilitation 1. Recommended in the following diseases • Vestibular Neuritis (Acute Unilateral Vestibulopathy) • Labyrinthitis • Unilateral Peripheral Vestibulopathy • Bilateral Peripheral Vestibulopathy • Ototoxicity • Labyrinthine Concussion • Functional Dizziness • PPPD • Otolith disorders • VOR dysfunction • Vestibulospinal dysfunction • Post - BPPV Dizziness • Risk of Fall • Presbyastasia 2. Vestibular Rehabilitation for Vertigo, Dizziness & Balance Disorder • Vestibular assessment is aimed at testing all components involved in balance and postural control • Rehab is customized according to site and severity of vestibular deficit • Customized and progressive vestibular rehab • Measuring rehab outcomes to ensure better postural control • Gamification of exercises to enable engaging and stimulating programs • Typically 2 sessions/week for 5 weeks – total 10 sessions 3. Online Vestibular Rehabilitation • Online rehab by trained physiotherapist through the NeuroEquilibrium app • Physiotherapist monitors and guides the sessions on a videocall • Interactive Screen Based Rehab-Using visual tracking, saccades, anti-saccades and OPK stimulations to enhance rehab protocols • Home Exercise videos 4. Interactive Screen Based Rehab • Using visual tracking, saccades, anti-saccades and optokinetic stimulations on the screen to enhance rehab protocols
Online Counselling 1. Counselling is recommended in dizziness due to:- • Vestibular Migraine • PPPD • Benign recurrent vertigo • Phobic Postural Dizziness • Otolith Dysfunction • Mal de Debarquement Syndrome (MdDS) • Tinnitus • Functional Dizziness • Post-BPPV Dizziness • Patients with high HADS score 2. Customized counselling techniques:- • Cognitive Behavioral Therapy (CBT) • Mindfulness-Based Cognitive Therapy (MBCT) • Exposure Therapy 3. Interventions used:- - Conscious thought modification exercises - Guided imagery - Behavioral modification exercises - Breathing relaxations and Mindfulness breathing - Online counselling by trained counsellor through the NeuroEquilibrium app.
NeuroEquilibrium Clinics 50+ Cities and counting Corporate Ofce : 255 SriGopal Nagar Gopalpura Bypass Road Jaipur 302015 info@neuroequilibrium.in www.neuroequilibrium.in India