Eye Movement Mastery
Capture Invisible Balance Signals
Balance relies on signals between the inner ear, eyes, and brain. When this system misfires, people may feel spinning, drifting, blurred vision, or unsteadiness. ENG and VNG assess eye movements linked to balance function. These tests are often used to evaluate vertigo, dizziness, imbalance, or disturbances triggered by head movement or changes in position.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Dynamic Eye Tracking
Decode Dizziness with Eye Precision
ENG and VNG are vestibular tests that measure involuntary eye movements, known as nystagmus, which reflect how the balance organs are functioning. During testing, we record eye movements as you follow visual targets, change head position, or respond to gentle inner-ear stimulation. VNG uses infrared video goggles, while ENG uses surface electrodes.
At Harley AVM, testing is conducted in a controlled clinic environment under the supervision of experienced clinicians. The tests are non-invasive and safe, though some people may feel brief dizziness. Results help identify whether balance symptoms originate from one ear, both ears, or central pathways, supporting accurate diagnosis and treatment planning.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 108 reviews Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google 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 Google 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 Google 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 Google 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 Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Google Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic care
Pinpointing the Cause
Trace Spins Through Smart Steps
Vestibular Vision Vanguard
Assessment starts with a detailed history, ear examination, and targeted hearing or balance tests. We consider symptom triggers, duration, and associated features before recommending ENG or VNG as part of the evaluation.
Management remains non-surgical in most cases. Results guide vestibular rehabilitation, medical treatment, or reassurance where appropriate. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect daily function and safety.
Steady Steps Start with Us
At Harley Street Audiovestibular Clinic, ENG and VNG testing is interpreted within an expert audiovestibular framework rather than in isolation. Our team focuses exclusively on hearing and balance disorders, allowing us to link eye-movement findings with symptoms, continuity of care, and personalised treatment planning. We prioritise clear explanations, so you understand what the results mean and what they do not.
Testing and follow-up are coordinated through a single clinic, with access to additional vestibular care when needed. If dizziness, vertigo, or imbalance continues or feels unexplained, we invite you to book an assessment, request a call back, or submit an enquiry to discuss next steps with our team.
Major Insurance Providers Accepted
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.