BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuElectronystagmographyENGElectronystagmography is a test that looks at eye movements to see how well nerves in the brain are working. These nerves are:Vestibular nerve (eighth cranial nerve), which runs from the brain to the ears Oculomotor nerve, which controls eye movement Trochlear and abducens nerves, which run from the brain to the eyes How the Test is Performed Patches called electrodes are placed above, below, and on each side of your eyes. They may be sticky patches or attached to a headband. Another patch is attached to the forehead.The health care provider will spray cold water or air into each ear canal at separate times. The patches record eye movements that occur when the inner ear and nearby nerves are stimulated by the water or air. When cold water enters the ear, you should have rapid, side-to-side eye movements called nystagmus.Next, warm water or air is placed into the ear. The eyes should now move rapidly toward the warm water then slowly away.You may also be asked to use your eyes to track objects, such as flashing lights or moving lines.The test takes about 90 minutes. How to Prepare for the Test Most of the time, you do not need to take special steps before this test.Your provider will tell you if you need to stop taking any medicines before you have this test. DO NOT stop or change your medicines without talking to your provider first. How the Test will Feel You may feel discomfort due to cold water in the ear. During the test, you may have:Nausea or vomiting Brief dizziness (vertigo) Why the Test is Performed The test is used to determine whether a balance or nerve disorder is the cause of dizziness or vertigo.You may have this test if you have:Dizziness or vertigo Hearing loss Possible damage to the inner ear from certain medicines Normal Results Certain eye movements should occur after the warm or cold water or air is placed into your ears.Note: Normal value ranges may vary slightly among different laboratories. Talk to your provider about the meaning of your specific test results. What Abnormal Results Mean Abnormal results may be a sign of damage to the nerve of the inner ear or other parts of the brain that control eye movements.Any disease or injury that damages the acoustic nerve can cause vertigo. This may include:Blood vessel disorders with bleeding (hemorrhage), clots, or atherosclerosis of the blood supply of the ear AtherosclerosisAtherosclerosis, sometimes called "hardening of the arteries," occurs when fat, cholesterol, and other substances build up in the walls of arteries. ...Read Article Now Book Mark Article Cholesteatoma and other ear tumors CholesteatomaCholesteatoma is a type of skin cyst that is located in the middle ear and mastoid bone in the skull.Read Article Now Book Mark Article Ear tumorsBenign ear cysts are lumps or growths in the ear. They are benign.Read Article Now Book Mark Article Congenital disorders Injury Medicines that are toxic to the ear nerves, including aminoglycoside antibiotics, some antimalarial drugs, loop diuretics, and salicylates Multiple sclerosis Movement disorders such as progressive supranuclear palsy Rubella RubellaRubella, also known as the German measles, is an infection in which there is a rash on the skin. Congenital rubella is when a pregnant woman with rub...Read Article Now Book Mark Article Some poisons Additional conditions under which the test may be performed:Acoustic neuroma Acoustic neuromaAn acoustic neuroma is a slow-growing tumor of the nerve that connects the ear to the brain. This nerve is called the vestibular cochlear nerve. It...Read Article Now Book Mark Article Benign positional vertigo Benign positional vertigoBenign positional vertigo is the most common type of vertigo. Vertigo is the feeling that you are spinning or that everything is spinning around you...Read Article Now Book Mark Article Labyrinthitis LabyrinthitisLabyrinthitis is irritation and swelling of the inner ear. It can cause vertigo and hearing loss.Read Article Now Book Mark Article Meniere diseaseMeniere diseaseMénière disease is an inner ear disorder that affects balance and hearing.Read Article Now Book Mark Article Risks Rarely, too much water pressure inside the ear can injure your ear drum if there has been previous damage. The water part of this test should not be done if your eardrum has been perforated recently. Considerations Electronystagmography is very useful because it can record movements behind closed eyelids or with the head in many positions.Open ReferencesReferencesDeluca GC, Griggs RC. Approach to the patient with neurologic disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 368.Wackym PA. Neurotology. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 9.AllVideoImagesTog Tests for Electronystagmography ElectronystagmographyRelated Information Nystagmus(Symptoms)Dizziness(Symptoms)Rubella(Condition)Atherosclerosis(Condition)Cholesteatoma(Condition)Benign ear cyst or tumor(Condition)Acoustic neuroma(Condition)Benign positional vertigo(Condition)Labyrinthitis(Condition)Ménière disease(Condition)Brain tumors - primary(In-Depth) Review Date: 5/4/2021 Reviewed By: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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