Harley Street Audiovestibular Clinic

Horizontal Roll Tests

Horizontal Roll Tests

Horizontal Roll Tests in London

The horizontal roll test (also known as the supine roll test) is a diagnostic test designed to reveal the presence of Horizontal Canal Benign Paroxysmal Positional Vertigo or HC-BPPV. HC-BPPV is one type of Benign Paroxysmal Positional Vertigo and typically manifests as intermittent episodes of dizziness or imbalance resulting from changing the position of the head. Harley St AVM provide reliable and affordable horizontal roll tests in London at our state-of-the-art clinic.

The Horizontal Roll Tests in London: What to Expect

You can expect your horizontal roll test at the Harley St AVM clinic to proceed in the following manner:

  • You will be given a chance to ask any questions before the test begins.
  • Following history and other assessment, you will then be seated on the examination couch.
  • You will be positioned lying down, face up on the examination couch.
  • The doctor will then turn your head approximately 45° to the right and hold it there until nystagmus or other symptoms have settled down.
  • Your head will then be returned to a normal position.
  • After a moment of stillness, the doctor will then turn your head approximately 45° to the left, and again hold it there until any disconcerting symptoms subside before returning it to a centerline position.
  • While your head is turned the doctor will check for signs of nystagmus.
  • You doctor may choose to do this manoeuvre with the help of specialist equipment such as video Frenzel goggles to take a detailed look at any nystagmus.

If nystagmus is detected, a diagnosis of HC-BPPV will likely be made. If you are positive for nystagmus when your head is turned, the pattern of nystagmus has to be assessed by the specialist doctor who will then determine the side and type of BPPV.. If nystagmus is not detected in either direction your vertigo may be the result of something other than HC-BPPV.

Horizontal Roll Tests London

Trust the BPPV Specialist at Harley Street AVM

Accurate diagnosis of HC-BPPV requires an expert to administer and assess the results of a horizontal roll test. If you are experiencing unexplained instances of dizziness or vertigo when you move your head in certain directions call Harley St AVM on 020 3480 9630 and arrange an appointment to have a horizontal roll test.

Testimonials

What People are Saying

Vestibular Tests

Extremely professional & outstanding service especially Preeti Patel (operations manager). Dr Arun was fantastic, my vertigo has improved considerably.

Vestibular Rehabilitation

Inspirational, most satisfying experience. My problem expertly dealt with, hopefully with good outcome.

Vertigo

Very professional, excellent staff especially the operations manager Preeti.

Hearing Loss

Recommeded.

Dizziness

Everyone was very friendly and considered every possible option for my tinnitus. I was given multiple tests and given good explanation on what the tests were for and why. Dr Arun made me feel very at ease and listed out a good plan for me going forward.

Vestibular Tests

Very good experience.

Hearing Loss

Great experience.

Vestibular Tests

Excellent assessment, very thorough

Vertigo

Very detailed and professional

Vestibular Tests

Very helpful staff.thanks

Verified Patient

Very thorough and helpful

Verified Patient

Very thorough service and helpful.

Verified Patient

All went well!!

Verified Patient

Thank you for a thorough and professional appointment., Both Dr Rudy and audiologist priyani provided an excellent service. Dr Rudy listened to my problems and provided pragmatic and knowledgeable advice.

Verified Patient

Excellent very thorough and reassuring

Verified Patient

Excellent professional service; Very thorough investigation and follow up

Verified Patient

Positive experience

Verified Patient

Extremely helpful and efficient

Verified Patient

Excellent professional service. All made to feel at ease. Explained thoroughly throughout the whole process with a diagnosis at the end. Would recommend to anyone.

Verified Patient

Excellent professional help at all stages of the appointment from initial contact to the appointment itself. Friendly, patient, helpful with everything explained clearly and reassuringly.

Verified Patient

Very insightful and helpful

Verified Patient

Professional and considerate

Verified Patient

I had excellent treatment and was very happy with everything

Verified Patient

Great support and reassurance for my tinnitus and dizziness. Thorough testing and flexible appointments, Dr Rudy was generous with his time and ensured that everything was well explained to me.

Verified Patient

Fantastic team, great knowledge and super friendly. Very helpful in understanding step by step what was happening and the tests they were carrying on

Verified Patient

Very nice experience, quick treatment and friendly environment. The doctor listened carefully, I value this a lot

Verified Patient

Extremely efficient and friendly. Everything was explained to me very clearly and the doctor took time to listen and was very sympathetic. All the other technician and staff were very pleasant and put me at ease. Very satisfied with the experience, the service and the kindness.

Verified Patient

Very efficient and informative

Verified Patient

I've had a very welcoming experience and the quality of the service was outstanding.

Vestibular Disorders (Neuro-Otology )

Excellent. Very thorough and informative.

Vestibular Assessment

Very positive. Efficient testing. Clear subsequent explanation of results and management of problem.

Vestibular Assessment

Great friendly service always responsive and have always listened to my specific individual needs. Thank you for the great service you offer. Dr Rudy has been absolutely amazing taking time to explain everything in simple terms as well as in depth. And his assistant Preeti Patel has been exceptional too always being proactive and providing a great service. I would happily recommend Harley Street AVM clinic to anyone with vestibular imbalance issues

Tinnitus

Very detailed and insightful consultation with the well informed Dr. Palani. Thanks for your patience and help all involved

Vertigo

After twenty years of vertigo and complex associated migraine and sleep problems, I feel I have finally found a practitioner that understands the position and can offer me comprehensive help and advise. All the staff have shown sensitivity and professionalism.

Pure Tone Audiometry

Excellent at fitting last minute appointment

Vestibular Tests

Extremely good service and gladly recommend the service to anyone who needs to see Dr Palaniappan and his team.

Verified Patient

Very thorough and professional with clear explanation of results and management plan. Very reassuring.

Verified Patient

Great. Made me feel comfortable and safe. Kind and friendly. Thorough testing.

Tinnitus

Dr Arun spent a long time with me, explaining everything well, taking a genuine interest and has given me a number of follow-on treatments to try

Tinnitus

The doctor explained every test and procedure very thoroughly, was friendly and detailed in the examination. The technician as well was helpful and professional.

Vertigo

Dr Arun and Anita were both very kind and helpful. Everything was thoroughly explained and I was made to feel at ease.

Dizziness

Great experience, very informative.

Testimonials

Our Associations

Care Quality Commission logo
BAAP logo
general medical council logo
Royal College of Surgeons
Royal College Physicians
general and medical logo
bupa logo
vitality logo
allianz logo
WPA
Cigna Logo
healix logo

The Care Quality Commission (CQC) is a public body of the Department of Health and Social Care established to regulate and inspect health and social care services in England.

CQC registration is a marker for standards of care. It is a mandatory requirement of all organisations which provide vestibular care or diagnostics.

Harley Street Audiovestibular Clinic is fully registered and compliant with all the stringent CQC requirements, ensuring you care is in the best possible hands.