Balance and hearing assessment (TMD)

Over the past 15 years the NIPA (Non-Invasive Intracranial Assessment) unit has accumulated an understanding of the signs and symptoms that are associated with intracranial hypertension/hypotension, and disorders of the middle ear that are of an obscure nature. This understanding combines with objective measurements that can be made using the ‘MMS-11 cerebral and cochlear fluid pressure analyser’ also known as the ‘MMS-11 tympanic membrane displacement (TMD) analyser’.

Patients with the following symptoms may benefit from further investigation by the NIPA unit:

• Those with hearing, balance and tinnitus problems of an obscure nature, for example a Meniere’s-like symptom profile.
• Those with low frequency whooshing or pulsatile tinnitus, especially if combined with imbalance or vertigo.
• Those with aural or head pressure sensations.
• Those with unexplained low frequency or fluctuating hearing loss especially if combined with any of the above symptoms.
• Those with persistent Eustachian tube function where a patulous (open) Eustachian tube may be a possible diagnosis.
• Those with aural clicking sounds that may be due to middle ear muscle myoclonus.

For further information, please contact 023 8079 6109