Alan L. Desmond

Alan L. Desmond

Alan L. Desmond, AuD, is director of the Balance Disorders Program at Wake Forest Baptist Medical Center and a faculty member at the Wake Forest University School of Medicine. He is the author of Vestibular Function: Evaluation and Treatment (Thieme, 2004) and Vestibular Function: Clinical and Practice Management (Thieme, 2011). He serves as a representative of the American Academy of Audiology at the American Medical Association.

Close-up abstract illustration of person with vertigo

Alternatives to (Not Substitutes for) Caloric Testing

The standard electronystagmography/videonystagmography (ENG/VNG) exam, first described 80 years ago, has been around for about 60 years. The recording techniques have improved, but the tests are the same. Our understanding of vestibular function and methods to evaluate the vestibular ocular reflex (VOR) also have improved, but our profession still relies primarily on VNG testing to determine vestibular function. Let’s take a critical look at this standard of care.

Topic(s): vestibular disorders, vestibular evaluation, Vertigo, vng, videonystagmography