Vertigo & Balance Disorders Clinic

The Clinic “AGIOS LOUKAS” operates the Clinic for Vertigo and Balance Disorders, which is aimed at those who suffer from dizziness, vertigo, instability. Its purpose is to identify in each patient the underlying damage and provide a solution to his problem. We also take care of and monitor cases in which the diagnosis has already been made and we recommend personalized therapeutic intervention if necessary.
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Additionally, we examine people with a history of falls using weighted tools and a special balance platform to calculate future fall risk.
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Philosophy of the Clinic
Our goal is to improve the quality of life of patients suffering for a long time, but also to provide immediate therapeutic intervention in acute episodes.
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Therapeutic approach

The therapeutic approach starts from simple counseling and medication to liberating manipulations and personalized programs of restoration of labyrinth function and enhancement of proprioception. A successful treatment starts right from the diagnosis.
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Due to the complexity of the balance disorder, its successful approach requires:
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•Methodology
• Knowledge
• Patience
• Good relationship between the patient and the attending physician
• Modern diagnostic equipment


“Balance can return to your life”
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- Clinic for Vertigo & Balance Disorders -
Why choose us?
Comprehensive care

We do not look at your symptoms in isolation, but we explore in depth the entire system of balance from the ear to the centers of the brain.

Specialized Equipment

We have the right equipment to detect any malfunctions at each point.

Holistic Treatment

In addition to medication, we also treat dizziness and vertigo with personalized programs of balance retraining exercises, especially protecting older people from falls that may have negative consequences for their lives.

Next to the Patient

We listen to patients with caution knowing how complex the problem of dizziness is and how much it affects their daily lives.

- EXAMINATIONS-
Diagnostic test
Videonystagmography

What is and how the examination is done
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The eyes are the window to the maze. The recording of eye movement under
the influence of different stimuli reveals to us the functional adequacy of both
labyrinths as well as the neural pathways involved in completing the above
movements.
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The examinee wears a mask-glasses that has rapid resolution cameras and is asked to
perform various commands such as turning the head, lying down, changing the gaze position.
Videos are collected on the computer, and with special software, motion analysis is performed. From the
resulting patterns draw conclusions about the functionality of the labyrinths.
One of the classic tests is thermal diffraction. We have the latest equipment
technology that quickly and accurately achieves the desired
temperatures for irritation of labyrinths.

The examinee is lying on the bed and
wearing the mask-glasses. The examiner administers hot and cold air separately to each ear and
analyzes the response of the mazes based on the graphs of the recordings. The duration of
test is about 25 minutes. Among other things it is necessary for filing supporting documents
for CEPA and in special groups of professions that need a special certificate of physiology
vestibular function.

Head impulse test (HIT)

VHit (video-ophthalmocephalic manipulation)
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how is the test done?
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The patient is sitting and wears special glasses that have a rapid resolution camera,
accelerometer and gyroscope; The examiner makes rapid, short-range movements of
head on all 3 levels of space. The data is collected on the computer and we export
conclusions of the adequacy of the vestibular reflex (labyrinth function) for all 3 functional pairs of semicircular tubes.

The examination is completely safe and all that the examinee has to do is have his neck relaxed and hold the
his gaze fixed on the wall target that has been assigned to him. The duration of the examination does not exceed 5 minutes and the information we collect is valuable as the movements fully represent everyday life. Think that our heads are constantly moving during
During the day, whatever activity we do, and the image we see must be stable without flickering and blurring. This expensive is the function of the oculocerebral reflex that we analyze.

Subjective Verticality Assessment (SVV)

It examines the possibility of alignment with gravity.

Vestibular myogenic evoked dynamics (VEMP)

What is it?
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They are a relatively new application in the diagnostic approach of patients with disorders
of the vestibular system, allowing to assess the functional integrity of the
otolaryngeal organs (spherical and elliptical vesicle), as well as its branches
vestibular nerve.
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They rely on the recording and analysis of the electromuscular activity induced in
specific muscles, after stimulation of the vestibular system with loud sounds, which
lead to the activation of specific reflexes;
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In the neurootological laboratory of the clinic we consider both types of VEMP. The CVEMPs
are evoked potentials that are recorded by the sternocleidomastoid non and express
specificity for the globular vesicle and inferior vestibular nerve, while OvEMPs are recorded
from the inferior oblique ocular muscle and show specificity for the elliptical vesicle and
superior vestibular nerve.
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How is the examination done?
The patient is lying on a chair or bed. Adhesive electrodes such as
on the cardiogram at predetermined points depending on the test e.g. forehead, oblique part
cervical and then the appropriate sound stimulus is administered via an intraocular hearing aid.. In this way we irritate the vesicles of the labyrinth and see if there is any impairment in their function. All the examinee has to do is keep his head up for 30-40 sec or look at a certain point that will be indicated to him for 1
minute depending on the test he is doing. The total duration does not exceed 10 minutes together with
preparation. The examination is easy and perfectly tolerated by the patient and most importantly,
does not cause dizziness at all;

Ophthalmoscope tests

What are optomotor tests?
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Optomotor tests assess the brain's ability to control voluntary
eye movements. These are mainly tests that are not affected by the peripheral
vestibular system or proprioception. Therefore, pathological findings in these tests
are indicative of damage to the central nervous system and thus we can distinguish
when a dizziness or episode of vertigo is due to peripheral and when to central damage. In
Dizziness and vertigo clinic evaluates many patients with chronic problems, history
neurological diseases and strokes and we need to know how
these diseases affect the vestibular system and its overall balance.
Examination is very easy as the examinee wearing special mask-glasses
simply watches targets on the screen without moving his head. From the software it becomes
recording and analyzing the data and depending on the curves, response times and
accuracy of eye movements draw conclusions about the neural involved
nodules and the brain centers that connect.

Balanceometry

Consider the static balance of the patient in various conditions.

Dynamic visual acuity (DVA)

Consider the cooperation of labyrinths and visual system.

communication

Do you have problems with dizziness or dizziness?
Ask us and we will contact you immediately.

Fill out the form!
- INCIDENTS -
Patients treated in our clinic
Testimonial Image

A 74-year-old patient with a history of falls and balance disorder with enough fear of her daily commute. A full investigation was done and no maze damage was found. Then specialized balance tests were performed on a special platform and it was found that its proprioceptivity is affected (diabetes mellitus). It was decided to enter into an individualized program of exercises for strengthening the lower limbs and trunk for better control of the center of gravity with the help of the physiotherapy department of the clinic and retraining of the support mechanism. The patient is very satisfied because although there is no medication for her problem, her weaknesses were identified and an effort was started to improve her quality of life.

Georgios Grammatikos

Specialist Hepatologist, Gastroenterologist
Testimonial Image

A patient with an acute episode of vertigo was initially served and hospitalized. He went to the infirmary for further investigation. Findings: complete subfunction of the Labyrinth. The patient received appropriate treatment and is in the recovery stage. Imaging control is expected, which was deemed necessary due to the involvement of both the upper and lower vestibular branches that we found from the tests we carried out.

Iakovidis Charalampos

Surgeon
Testimonial Image

Patient was admitted due to an episode of sudden persistent vertigo with difficulty walking and maintaining balance. A clinical examination was performed and the diagnosis of vestibular neuritis DE was confirmed with the help of the head impulse test. The patient followed appropriate medication and vestibular rehabilitation exercises and soon the symptoms subsided. At the scheduled recheck at 3 months the patient no longer has any problems with his balance.

Iakovidis Charalampos

Surgeon

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