High-Speed Gaze Check
Whip Test Reveals Canal Clues
Clear vision during movement depends on rapid reflexes between the inner ear and the eyes. When these reflexes weaken, people may feel dizziness, brief blurring, imbalance, or instability when turning their head. Symptoms often appear during walking, driving, or quick movements. vHIT helps identify whether this fast balance response is working properly.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Rapid Reflex Recording
Testing the Inner Ear’s Quick Response System
The Video Head Impulse Test assesses how well each balance canal responds to rapid head movements. During the test, you wear lightweight video goggles while we apply small, quick head turns. The system tracks eye movements in real time to see whether the eyes stay fixed on a target, as they should when the balance function is intact.
At Harley AVM, vHIT is performed in a clinic setting and takes only a short time. The test is non-invasive and well-tolerated, with no recovery period required. Results help identify reduced function in specific balance canals and guide accurate diagnosis and treatment planning.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 107 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 carePosted on Google 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!
Pinpointing the Cause
Tiered Turn Assessment
Canal Command Centre
Assessment begins with a detailed history and examination, supported by hearing and vestibular tests where appropriate. We consider symptom triggers, daily impact, and movement-related difficulties before recommending vHIT as part of the evaluation.
Management usually remains non-surgical. vHIT findings guide vestibular rehabilitation, monitoring, or medical management, helping us target therapy to the specific balance pathways involved. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect safety and independence.
Thrust to Triumph with Us
At Harley Street Audiovestibular Clinic, vHIT is used as part of a comprehensive balance assessment, not a standalone test. Our team focuses exclusively on hearing and vestibular disorders, allowing us to interpret rapid eye–head reflex data alongside other clinical findings. We explain results clearly, showing how they relate to your symptoms and what they mean for recovery or management.
Testing and follow-up are coordinated within one clinic, ensuring continuity of care. If dizziness, blurred vision with movement, or imbalance continues, we invite you to book an assessment, request a call back, or submit an enquiry to explore tailored 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.