Neural Signal Snapshot
Track Brain's Sound Journey
Hearing relies not only on the ear detecting sound, but also on the auditory nerve and brainstem transmitting signals accurately. When this pathway is disrupted, people may experience unclear hearing, sound distortion, asymmetry between ears, or unexplained hearing loss. Symptoms can occur gradually and may not always be detected by routine hearing tests alone.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Objective Assessment of the Auditory Nerve
Measuring How Sound Signals Reach the Brain
Auditory brainstem response testing evaluates how sound signals travel from the inner ear through the auditory nerve to the brainstem. During the test, small sensors are placed on the scalp and ears while clicking sounds are played through headphones. The sensors record electrical responses generated along the auditory pathway.
At Harley Street Audiovestibular Clinic, ABR testing is performed in a calm, controlled clinic environment. The test is non-invasive and painless, requiring no active response, and is suitable for adults who cannot reliably complete behavioural hearing tests. Results help identify delays or abnormalities in the nerve pathway and guide further investigation when hearing symptoms remain unexplained.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Placing Nerve Testing in Clinical Context
Clarifying Complex Hearing Symptoms
Assessment begins with a detailed history, ear examination, and standard hearing tests, including Pure Tone Audiometry and speech-based measures. We recommend ABR testing when symptoms, asymmetry, or test findings suggest involvement beyond the inner ear.
Management is usually non-surgical. ABR results guide monitoring, reassurance, or referral for further imaging or neurological input when indicated. Further investigation is considered only when abnormalities are detected or when symptoms persist and significantly affect communication or daily functioning.
Wire Your Waves to Wellness
At Harley AVM, ABR testing is interpreted within an expert audiovestibular and neuro-auditory framework. Our clinicians focus exclusively on hearing and balance pathways, allowing us to integrate ABR findings with audiological results and patient symptoms. We prioritise clear explanations so you understand what the results mean and whether further action is required.
Testing, assessment, and follow-up are coordinated through one clinic, ensuring continuity of care and informed decision-making. If hearing symptoms remain unexplained, asymmetrical, or concerning, we invite you to book an assessment, request a call back, or submit an enquiry to explore appropriate next steps with our team.
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our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.