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Subjective Visual Vertical (SVV)

The Subjective Visual Vertical (SVV) test evaluates the otolith system, which is crucial for perceiving verticality. This test is essential for detecting abnormal subjective tilt and diagnosing various vestibular disorders.

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When is SVV required

  • Otolithic Disorders: Assesses and diagnoses otolithic dysfunction.
  • Chronic Dizziness: Evaluates chronic dizziness conditions.
  • Peripheral Vestibular Insult: Identifies the side of vestibular damage during the acute stage.
  • Compensated Vestibular Disorders: Aids in diagnosing vestibular disorders that have compensated over time.
  • Rehabilitation Effectiveness: Assesses the impact of rehabilitation on vestibular function.

Tests Included

  • Static SVV (Head Vertical): Measures vertical perception with the head in a vertical position.
  • Dynamic SVV (Head Vertical with Optokinetic Background): Assesses vertical perception with a moving background.
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Design Features

  • Tubular Vision Goggle: Equipped with a gyroscope and accelerometer.
  • Head Angle Measurement: Ensures correct head positioning during testing.

For doctors and patients, the NeuroEquilibrium SVV test provides a reliable method to assess and diagnose disorders related to the perception of verticality and chronic dizziness.

Frequently Asked Questions

What is the SVV test for vertigo?

The SVV (Subjective Visual Vertical) test is used to assess how well the brain perceives vertical orientation, which depends on the inner ear’s balance organs. During the test, a person aligns a visual line to what they believe is perfectly vertical. Deviations can indicate otolith or central vestibular dysfunction, helping doctors understand certain causes of vertigo.

During a vestibular test, clinicians evaluate how the inner ear, eyes, and brain work together to maintain balance. This may include tracking eye movements, changing head or body positions, and sometimes stimulating the inner ear. At specialized centers like Neuroequillibrium, these tests are combined with detailed analysis to accurately identify the source of dizziness or imbalance.

Visual vertigo is diagnosed through a combination of symptom history and specialized balance testing. Doctors look for dizziness triggered by busy visual environments like traffic, crowds, or scrolling screens. Clinical assessments evaluate visual dependency and eye–balance coordination, helping distinguish visual vertigo from other vestibular or neurological causes of dizziness.

The vestibular system is examined using a detailed clinical assessment that includes balance tests, eye movement evaluation, hearing tests, and positional maneuvers. Advanced diagnostic tools may measure how the inner ear responds to motion or visual stimuli. Comprehensive evaluations at centers such as Neuroequillibrium help pinpoint whether symptoms originate from the inner ear or central pathways.

Red flags for vestibular dysfunction include sudden severe vertigo with weakness, numbness, difficulty speaking, or vision changes. Persistent imbalance, frequent falls, unexplained hearing loss, or vertigo accompanied by severe headaches also require urgent medical attention. These symptoms may signal serious neurological or inner-ear conditions that need prompt evaluation.

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