A brochure designed to educate the Doctor and Specialist about the company, who we are , our services, the leadership team, gives a low down on the international tests conducted at our various centres, our latest equipments used , online counselling, also touches on our locations in Pan India.
2. About Us
NeuroEquilibrium is the world's largest chain of dizziness clinics, with super-speciality clinics
established at prominent government and multi-speciality corporate hospitals, ENT clinics, and
neurology speciality centres across 50+ cities in India.
At the heart of our innovative approach lies our deeptech platform, which seamlessly integrates
cloud technology, computer vision, clinical decision support system, a remote diagnostic platform,
and our proprietary diagnostic equipment and systems. This holistic integration empowers our
partner clinics to deliver accurate diagnoses and personalised treatment plans, revolutionising the
way dizziness and balance disorders are managed.
• The clinical team is led by Dr. Anita Bhandari
• Director, NeuroEquilibrium
• Neurotologist and ENT surgeon
• M.S. [ENT] from SMS Medical College, Jaipur, India
• Former Assistant Professor, SMS Medical College
• Granted 7 patents for diagnostic equipment in the field
of diagnosis and rehabilitation of vertigo and balance disorders
• Author of an e-book on BPPV, an authoritative book on diagnosis
& treatment of various types of BPPV
• Member Barany Society
• Associate Editor, Frontiers in Neurology
3. Vertigo, Dizziness
& Balance Disorders
6 crore people in India suffer from vertigo.
Common Symptoms
• Dizziness • Unsteadiness
• Imbalance • Vertigo
• Recurrent Falls • Headache with spinning sensation
→ 15% of the population has Dizziness and Balance Disorders.
→ 30% of the population is affected by dizziness during their lifetime.
→ 65% of people over 60 years experience dizziness or imbalance, often on a daily basis.
The root cause for these symptoms could be
attributed to any of the 40 underlying diseases
of the ear and brain
• BPPV - 14 sub-types • Meniere’s Disease
• Vestibular Neuritis • Labyrinthitis
• Otolith Disorder • Presbyastasia
• Perilymph Fistula • Ototoxicity
• Vestibular Paroxysmia • Visual Vertigo
• Labyrinthine Concussion • Vestibular Epilepsy
• Drug Induced Dizziness • Otolithic Drop Attacks
• Ataxia • Functional Dizziness
• Malingering • TMJ Disorders
• Multiple Sclerosis
• Unilateral Peripheral Vestibulopathy
• Superior Semicircular Canal Dehiscence
• Persistent perceptive positional vertigo (PPPD)
• Postural Orthostatic Tachycardia Syndrome
• Mal de Debarquement syndrome (MdDS)
• Vestibular Migraine
• Meniere’s Migraine Spectrum
• Vestibular Schwannoma
• Cerebellar Disorders
• Posterior Circulation Stroke
• Orthostatic Hypotension
• Spino-Cerebellar Ataxia
• Phobic Postural Vertigo
• Chronic Vestibular Insufficiency
• Vestibulo-Ocular Reflex Disorder
• Central Positioning Nystagmus
• Post-BPPV Residual Dizziness
• Autoimmune inner ear disease
• Bilateral Peripheral Vestibulopathy
• Vestibulospinal Dysfunction
4. 1. Advanced Videonystagmography (VNG)
NeuroEquilibrium VNG is the most advanced technology to evaluate
the vestibular and oculomotor systems in a non-invasive and accurate
way. This cutting-edge equipment eliminates contamination
by myogenic and electrical noise seen in ENG.
NeuroEquilibrium Video Nystagmography evaluates peripheral and
central vestibular functions through the following protocols:
• Spontaneous nystagmus - with and without optic fixation
• Gaze evoked nystagmus
• Saccades - Random Target Movement
• Smooth tracking - with varying frequencies
• Head shaking test
• Caloric test
• Positional tests - Dix-Hallpike Test, Supine Head Roll and Deep
Head Hanging
• Valsalva and Hyperventilation induced nystagmus
• Skew deviation
Latest state of the art specialised tests at our clinics-
Specialised Vestibular Tests
2. Caloric Irrigator
The Caloric test is the gold standard in vestibular testing
for over 100 years. NeuroEquilibrium Caloric Irrigators
are used in combination with the VNG machine to
conduct caloric tests on patients with dizziness.
5. 4. Computerized Dynamic Visual Acuity (DVA)
How it Works:
DVA assesses the function of the VOR in maintaining the image on the fovea of the retina during
head movement. Defective VOR results in slippage of image resulting in blurring of vision.
Dynamic Visual Acuity is used for:
• Evaluation of the Vestibulo-Ocular Reflex (VOR)
• Early detection of vestibulotoxicity
• Detection of Bilateral Peripheral Vestibulopathy
• Rehabilitation tool
• Assessing outcome of rehabilitation
For detection of abnormal subjective tilt
Subjective Visual Vertical (SVV) is an investigation
to evaluate the otolith system, which is responsible
for perception of verticality. Static and Dynamic SVV
are useful to:
• Assess otolithic disorders
• Assess chronic dizziness
• Decide side of peripheral vestibular insult during the acute stage
• Diagnose compensated vestibular disorders
• Assess effect of rehabilitation
3. Subjective Visual Vertical (SVV)
6. 1. Recommended in the following diseases
• Vestibular Neuritis (Acute Unilateral Vestibulopathy)
• Labyrinthitis
• Unilateral Peripheral Vestibulopathy
• Bilateral Peripheral Vestibulopathy
• Ototoxicity
• Labyrinthine Concussion
• Functional Dizziness
• PPPD
• Otolith disorders
• VOR dysfunction
• Vestibulospinal dysfunction
• Post - BPPV Dizziness
• Risk of Fall
• Presbyastasia
Vestibular Rehabilitation
• Using visual tracking, saccades, anti-saccades and
optokinetic stimulations on the screen to enhance
rehab protocols
4. Interactive Screen Based Rehab
2. Vestibular Rehabilitation for Vertigo,
Dizziness & Balance Disorder
• Vestibular assessment is aimed at testing all components involved in balance and postural control
• Rehab is customized according to site and severity of vestibular deficit
• Customized and progressive vestibular rehab
• Measuring rehab outcomes to ensure better postural control
• Gamification of exercises to enable engaging and stimulating programs
• Typically 2 sessions/week for 5 weeks – total 10 sessions
3. Online Vestibular Rehabilitation
• Online rehab by trained physiotherapist through the
NeuroEquilibrium app
• Physiotherapist monitors and guides the sessions on a videocall
• Interactive Screen Based Rehab-Using visual tracking, saccades,
anti-saccades and OPK stimulations to enhance rehab protocols
• Home Exercise videos
7. 2. Customized counselling techniques:-
• Cognitive Behavioral Therapy (CBT)
• Mindfulness-Based Cognitive Therapy (MBCT)
• Exposure Therapy
3. Interventions used:-
- Conscious thought modification exercises
- Guided imagery
- Behavioral modification exercises
- Breathing relaxations and Mindfulness breathing
- Online counselling by trained counsellor through the
NeuroEquilibrium app.
1. Counselling is recommended in dizziness due to:-
• Vestibular Migraine • Tinnitus
• PPPD • Functional Dizziness
• Benign recurrent vertigo • Post-BPPV Dizziness
• Phobic Postural Dizziness • Patients with high HADS score
• Otolith Dysfunction
• Mal de Debarquement Syndrome (MdDS)
Online Counselling