Balance clinics (neuro-vestibular) 

Who do we see?

  • Children from birth to 19 years with balance disorders including dizziness, vertigo, disorientation, severe motion sickness, imbalance symptoms
  • Children with delayed motor milestones related to permanent hearing loss
  • Children with permanent hearing loss where further information is needed about the vestibular system

What do we do?

  • Full vestibular assessment – history and examination with the doctor
  • Hearing assessment: visual reinforcement audiometry, pure tone audiometry, tympanometry, oto-acoustic emissions, stapedial reflexes, auditory brain-stem evoked response for latency
  • Vestibular testing: electronystagmography, videonystagmography, caloric testing, dynamic posturography (Equitest), VEMPs

What happens next?

  • Occupational therapy assessment of balance if indicated
  • Investigations into the cause of the balance problems including radiology, blood and urine tests, ECG and EEG if required
  • Medical treatment if appropriate
  • Advice given on vestibular rehabilitation
  • Psychological support and counselling for dizzy children if required
  • Some vestibular rehabilitation offered on site
  • Liaison with local agencies to facilitate vestibular rehabilitation if required.

Who are we?

  • Dr Harrop-Griffiths
  • Dr Pagarkar


Referrals accepted from:

  • NHS e-Referral Service (formally Choose and Book referrals)
  • General practitioners (GPs)
  • Consultant Paediatricians
  • ENT Surgeons
  • Audiovestibular Physicians

Clinic frequency

Twice weekly one-stop vestibular clinic for testing on Tuesday and Friday.