Examiners Report

□
✔ Initial Examination □ Re-evaluation

NEVADO,ZENAIDA
Patient Name: _________________ Date of Birth: ___________
01/10/1952

LUCIANO DIZON
Examiner:_____________________ Date of Test: 12/10/2009
___________

Ref. Physician: ___________________

DR. OSTERWEIL Test Site: NEW YORK,NY
______________

Patient History
Patient is currently taking the following medications:
None

Patient has a history of (include dates and specific details)

□ Head trauma __________________________________________

□ Stroke _______________________________________________
□ Cardiovascular disease __________________________________
□ Vision impairment- □ □
Test performed with vision Corrected ✔ Uncorrected
 If patient answers with yes- then ask if there is anything that makes
that symptom better or worse. (Please be specific) the following
symptoms: Yes No

Symptoms YES NO Date of Onset

Dizziness □ □
✔

Palliative/Provocative:
Other description:

Vertigo (Sensation Spinning) □ □

✔

Palliative/Provocative:
Other description:

Headaches □
✔ □
Palliative/Provocative:
When she get tired.
Other description:

Blurred Vision □ □
✔

Palliative/Provocative:
Other description:

Double Vision □ □
✔

Palliative/Provocative:
Other description:

Blackouts □ □
✔
Palliative/Provocative
Other description:

Nausea □ □
✔

Palliative/Provocative:
Other description:

Numbness in hands or feet □

✔ □
Palliative/Provocative
Left hand
Other description:

Tingling around mouth or face □ □

✔

Palliative/Provocative:
Other description:

Seizures □ □
✔

Palliative/Provocative:
Other description:

Difficulty walking □ □
✔

Palliative/Provocative:
Other description:

History of prior falls □ □

✔
Palliative/Provocative:
Other description:

Difficulty judging distance □ □

✔

Palliative/Provocative .
Other description:

Noise in your ears □ □✔

Palliative/Provocative:
Other description:

Fullness or pressure in your ears □ □

✔

Palliative/Provocative
Other description:

Pain in your ear □

✔ □
Palliative/Provocative
More on the right pain.
Other description:

Drainage from your ear □ □

✔

Palliative/Provocative
Other description:

Examiner Report
Patient followed the pre-test instructions below:
□No alcohol 24 hours prior to appt □No caffeine 12 hrs prior to appt
✔

□No dizziness meds ___hrs pror to appt

✔

□Patient well rested

Examination of visual tracking ability revealed:
□Normal visual tracking
✔

□Disconjugate eye movement (most accurate eye recorded)

Hallpike Results:
□No nystagmus or vertigo
✔

□Torsional nystagmus….head position: □left □right

□Patient reported vertigo…. head position: □left □right
Tests patient was unable to perform:
Caloric warm air ( left ear ) patient vomited after she was performed a caloric
warm air on the right ear and she was unable to perform the warm air left ear.

Other Notes:
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, WARM RIGHT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

HORIZONTAL EYE MOVEMENT

DEG
FAST COMPONENT SLOW COMPONENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, COOL LEFT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

VERTICAL EYE MOVEMENT

DEG
VERTICAL EYE MOVEMENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, COOL LEFT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

HORIZONTAL EYE MOVEMENT

DEG
FAST COMPONENT SLOW COMPONENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, COOL RIGHT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

VERTICAL EYE MOVEMENT

DEG
VERTICAL EYE MOVEMENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, COOL RIGHT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

HORIZONTAL EYE MOVEMENT

DEG
FAST COMPONENT SLOW COMPONENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

POSITIONAL-VERTICAL
VERTICAL EYE MOVEMENT
DEG SUPINE 0° EYES CLOSED

20
SEC
0 2 4 6 8 10 12 14 16 18 20

DEG HEAD LEFT EYES CLOSED DEG HEAD RIGHT EYES CLOSED

20 20
SEC SEC
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

GAZE: 20°-VERTICAL EYE MOVEMENTS

VERTICAL EYE MOVEMENT
DEG 20°-LEFT EYES-OPEN DEG 20°-LEFT EYES-CLOSED

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-RIGHT EYES-OPEN DEG 20°-RIGHT EYES-CLOSED

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-UP EYES-OPEN DEG 20°-UP EYES-CLOSED

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-DOWN EYES-OPEN DEG 20°-DOWN EYES-CLOSED

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

GAZE: 10°-VERTICAL EYE MOVEMENTS

VERTICAL EYE MOVEMENT

DEG CENTER EYES-OPEN DEG CENTER EYES-CLOSED

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

OPTOKINETIC
FAST COMPONENT SLOW COMPONENT
DEG SLOW-RIGHT DEG SLOW-LEFT

Mean SPV = 13.8°/s Mean SPV = 17.6°/s

20 20
SEC SEC
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
DEG FAST-RIGHT DEG FAST-LEFT

Mean SPV = 19.9°/s Mean SPV = 15.7°/s

20 20
SEC SEC
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

SMOOTH PURSUIT
HORIZONTAL EYE MOVEMENT VERTICAL EYE MOVEMENT TRACKER STIMULUS
DEG 0.2Hz-HORIZONTAL DEG 0.4Hz-HORIZONTAL
40 40
Gain: 0.64, Phase: 1 Deg. Gain: 0.64, Phase: -1.7 Deg.

30 30

20 20

10 10

0 0

-10 -10

-20 -20

-30 -30

SEC SEC
-40 -40
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
DEG 0.2Hz-VERTICAL DEG 0.4Hz-VERTICAL
40 40
Gain: 0.64, Phase: 1 Deg. Gain: 0.65, Phase: 13 Deg.

30 30

20 20

10 10

0 0

-10 -10

-20 -20

-30 -30

SEC SEC
-40 -40
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

HALLPIKE
HEAD HANGING RIGHT HORIZONTAL EYE MOVEMENT: FAST COMPONENT SLOW COMPONENT
DEG START POSITION DEG SUPINE POSITION DEG SITTING POSITION
Left Beating: Number of saccades = 1, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s

20 20 20
SEC SEC SEC
2 4 6 8 10 4 6 8 10 12 14 16 18 20 4 6 8 10 12 14 16 18 20

HEAD HANGING LEFT HORIZONTAL EYE MOVEMENT: FAST COMPONENT SLOW COMPONENT
DEG START POSITION DEG SUPINE POSITION DEG SITTING POSITION
Left Beating: Number of saccades = 1, Mean SPV = 0°/s
Right Beating: Number of saccades = 1, Mean SPV = 0°/s

20 20 20
SEC SEC SEC
2 4 6 8 10 4 6 8 10 12 14 16 18 20 4 6 8 10 12 14 16 18 20

HEAD HANGING RIGHT VERTICAL EYE MOVEMENT:

DEG START POSITION DEG SUPINE POSITION DEG SITTING POSITION

20 20 20
SEC SEC SEC
2 4 6 8 10 4 6 8 10 12 14 16 18 20 4 6 8 10 12 14 16 18 20

HEAD HANGING LEFT VERTICAL EYE MOVEMENT:

DEG START POSITION DEG SUPINE POSITION DEG SITTING POSITION

20 20 20
SEC SEC SEC
2 4 6 8 10 4 6 8 10 12 14 16 18 20 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

SACCADE
TRACKER STIMULUS HORIZONTAL EYE MOVEMENT VERTICAL EYE MOVEMENT SACCADE FIT
DEG 20°-HORIZONTAL
50
RIGHT: 5 Saccades, Velocity 258.1 ± 86.8°/s, Latency 270 ± 57.9 msec
LEFT: 7 Saccades, Velocity 313.9 ± 28°/s, Latency 215.7 ± 30.5 msec
40

30

20

10

-10

-20

-30

-40

SEC
-50
0 2 4 6 8 10 12 14 16 18 20 22 24 26
DEG 20°-VERTICAL
50
UP: 5 Saccades, Velocity 263.2 ± 132.7°/s, Latency 218 ± 29.5 msec
DOWN: 2 Saccades, Velocity 259.4 ± 81.9°/s, Latency 230 ± 14.1 msec
40

30

20

10

-10

-20

-30

-40

SEC
-50
0 2 4 6 8 10 12 14 16 18 20 22 24 26
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

POSITIONAL-HORIZONTAL
HORIZONTAL EYE MOVEMENT: FAST COMPONENT SLOW COMPONENT
DEG SUPINE 0° EYES CLOSED
Left Beating: Number of saccades = 1, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s

20
SEC
0 2 4 6 8 10 12 14 16 18 20

DEG HEAD LEFT EYES CLOSED DEG HEAD RIGHT EYES CLOSED
Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 0, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 1, Mean SPV = 0°/s

20 20
SEC SEC
0 2 4 6 8 10 12 14 16 18 20 0 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

GAZE: 20°-HORIZONTAL EYE MOVEMENTS

FAST COMPONENT SLOW COMPONENT
DEG 20°-LEFT EYES-OPEN DEG 20°-LEFT EYES-CLOSED
Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 0, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 1, Mean SPV = 0°/s

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-RIGHT EYES-OPEN DEG 20°-RIGHT EYES-CLOSED
Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 0, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 0, Mean SPV = 0°/s

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-UP EYES-OPEN DEG 20°-UP EYES-CLOSED
Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 0, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 1, Mean SPV = 0°/s

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
DEG 20°-DOWN EYES-OPEN DEG 20°-DOWN EYES-CLOSED
Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 0, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 0, Mean SPV = 0°/s

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

GAZE: 10°-HORIZONTAL EYE MOVEMENTS

FAST COMPONENT SLOW COMPONENT

DEG CENTER EYES-OPEN DEG CENTER EYES-CLOSED

Left Beating: Number of saccades = 0, Mean SPV = 0°/s Left Beating: Number of saccades = 2, Mean SPV = 0°/s
Right Beating: Number of saccades = 0, Mean SPV = 0°/s Right Beating: Number of saccades = 1, Mean SPV = 0°/s

20 20
SEC SEC
2 4 6 8 10 12 14 16 18 20 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

CALIBRATE
TRACKER STIMULUS HORIZONTAL EYE MOVEMENT VERTICAL EYE MOVEMENT CALIBRATE FIT
DEG 20°-HORIZONTAL
50

40

30

20

10

-10

-20

-30

-40

SEC
-50
0 2 4 6 8 10 12 14 16 18 20
DEG 20°-VERTICAL
50

40

30

20

10

-10

-20

-30

-40

SEC
-50
0 2 4 6 8 10 12 14 16 18 20
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285,

NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

CALORIC COMPOSITE
SPES (EO)
FIXATION INDEX =
UNILATERAL WEAKNESS = 10.49% IN THE LEFT EAR SPES (EC)
= 0.00 % (RC), = 0.00 % (RW)

= 0.00 % (LC), = 0.00 % (LW)

DEG /SEC DEG /SEC

60 COOL RIGHT MAX SPV = 17.33°/s 60
50 50
40 40
30 30
20 20
10 10
0 0
-10 -10
-20 -20
-30 -30
-40 -40
-50 WARM RIGHT MAX SPV = 24.48°/s -50 COOL LEFT MAX SPV = 14.04°/s
SEC SEC
-60 -60
0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

HORIZONTAL EYE MOVEMENT: FAST COMPONENT SLOW COMPONENT

DEG COOL-RIGHT: 17.33°/s DEG COOL-LEFT: 14.04°/s

20 20
SEC SEC
70 72 74 76 78 80 60 62 64 66 68 70
DEG WARM-RIGHT: 24.48°/s

20
SEC
80 82 84 86 88 90
 ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT) ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, HORIZONTAL 68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, HORIZONTAL
NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, HE105601, 143-84-7301 Version: 3.5.4 NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, HE105603, 143-84-7301 Version: 3.5.4

DEG EYE POSITION HORIZONTAL GAIN STD = 2 DEG EYE POSITION HORIZONTAL GAIN STD = 2
30 Dynamic CRP value: 4.83 microvolts / degree 1.5 30 Dynamic CRP value: 5.60 microvolts / degree 1.5
1.4 1.4
20 20
1.3 1.3
1.2 1.2
10 10
1.1 1.1
0 1.0 0 1.0
0.9 0.9
-10 -10
0.8 0.8
0.7 0.7
-20 -20
0.6 0.6
SEC FREQUENCY (Hz) SEC FREQUENCY (Hz)
-30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7 -30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7
DEG/SEC EYE VELOCITY HORIZONTAL PHASE (DEG) STD = 2 DEG/SEC EYE VELOCITY HORIZONTAL PHASE (DEG) STD = 2
100 170 100 170

180 180
50 50

190 190
0 0
200 200

-50 -50
210 210

SEC FREQUENCY (Hz) SEC FREQUENCY (Hz)

-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7 -1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7
DEG/SEC HEAD VELOCITY PERCENT EYE ASYMMETRY DEG/SEC HEAD VELOCITY PERCENT EYE ASYMMETRY
100 30 RIGHT 100 30 RIGHT

20 20
50 NORMAL RANGE 50 NORMAL RANGE
10 10
1.7 1.7
0 0 0 0

-10 -10
-50 -50
-20 -20
SEC LEFT FREQUENCY (Hz) SEC LEFT FREQUENCY (Hz)
-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 -30 1 2 3 4 5 6 7 8 9 10 11 -1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 -30 1 2 3 4 5 6 7 8 9 10 11

ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT) ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, HORIZONTAL 68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, VERTICAL
NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, HE105602, 143-84-7301 Version: 3.5.4 NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, VE105601, 143-84-7301 Version: 3.5.4

DEG EYE POSITION HORIZONTAL GAIN STD = 2 DEG EYE POSITION VERTICAL GAIN STD = 2
30 Dynamic CRP value: 5.22 microvolts / degree 1.5 30 Dynamic CRP value: 3.74 microvolts / degree 1.5
1.4 1.4
20 20
1.3 1.3
1.2 1.2
10 10
1.1 1.1
0 1.0 0 1.0
0.9 0.9
-10 -10
0.8 0.8
0.7 0.7
-20 -20
0.6 0.6
SEC FREQUENCY (Hz) SEC FREQUENCY (Hz)
-30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7 -30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7
DEG/SEC EYE VELOCITY HORIZONTAL PHASE (DEG) STD = 2 DEG/SEC EYE VELOCITY VERTICAL PHASE (DEG) STD = 2
100 170 100 170

180 180
50 50

190 190
0 0
200 200

-50 -50
210 210

SEC FREQUENCY (Hz) SEC FREQUENCY (Hz)

-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7 -1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7
DEG/SEC HEAD VELOCITY PERCENT EYE ASYMMETRY DEG/SEC HEAD VELOCITY
100 30 RIGHT 100

20
50 NORMAL RANGE 50
8.6
10

0 0 0

-10
-50 -50
-20
SEC LEFT FREQUENCY (Hz) SEC
-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 -30 1 2 3 4 5 6 7 8 9 10 11 -1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
 ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, VERTICAL
NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, VE105602, 143-84-7301 Version: 3.5.4

DEG EYE POSITION VERTICAL GAIN STD = 2

30 Dynamic CRP value: 4.07 microvolts / degree 1.5
1.4
20
1.3
1.2
10
1.1
0 1.0
0.9
-10
0.8
0.7
-20
0.6
SEC FREQUENCY (Hz)
-30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7
DEG/SEC EYE VELOCITY VERTICAL PHASE (DEG) STD = 2
100 170

180
50

190
0
200

-50
210

SEC FREQUENCY (Hz)

-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7
DEG/SEC HEAD VELOCITY
100

50

-50

SEC
-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT)

68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, VERTICAL
NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, VE105603, 143-84-7301 Version: 3.5.4

DEG EYE POSITION VERTICAL GAIN STD = 2

30 Dynamic CRP value: 4.07 microvolts / degree 1.5
1.4
20
1.3
1.2
10
1.1
0 1.0
0.9
-10
0.8
0.7
-20
0.6
SEC FREQUENCY (Hz)
-30 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 0.5 1 2 3 4 5 6 7
DEG/SEC EYE VELOCITY VERTICAL PHASE (DEG) STD = 2
100 170

180
50

190
0
200

-50
210

SEC FREQUENCY (Hz)

-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 220 1 2 3 4 5 6 7
DEG/SEC HEAD VELOCITY
100

50

-50

SEC
-1000 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
 ZVI M. OSTERWEIL, MD, PLLC: Vestibular Autorotation Test (VAT)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, ALL TESTS
NEVADO, ZENAIDA, 57yr, 38In, 12/10/2009, E1056, 143-84-7301 Version: 3.5.4

HORIZONTAL GAIN STD = 2 VERTICAL GAIN STD = 2

1.5 1.5
1.4 1.4
1.3 1.3
1.2 1.2
1.1 1.1
1 1
.9 .9
.8 .8
.7 .7
.6 .6
FREQUENCY (Hz) FREQUENCY (Hz)
.5 1 2 3 4 5 6 7 .5 1 2 3 4 5 6 7
HORIZONTAL PHASE (DEG) STD = 2 VERTICAL PHASE (DEG) STD = 2
170 170

180 180

190 190

200 200

210 210

FREQUENCY (Hz) FREQUENCY (Hz)

2201 2 3 4 5 6 7 2201 2 3 4 5 6 7
PERCENT HORIZONTAL EYE ASYMMETRY LEGEND
30 RIGHT

20
[Link] [Link]
NORMAL RANGE
10 8.6 [Link]
1.7 [Link]
0
[Link]
-10
[Link]
-20
LEFT FREQUENCY (Hz)
-30 1 2 3 4 5 6 7 8 9 10 11
 ZVI M. OSTERWEIL, MD, PLLC: ELECTRONYSTAGMOGRAPHY (ENG)
68 East 86th Street, New York, NY 10028, USA. Ph: (212)288-8878, Fax: (212)861-6285, WARM RIGHT
NEVADO, ZENAIDA, F, 57yr, 12/10/2009, E1056, 143-84-7301 Version: 3.5.6

VERTICAL EYE MOVEMENT

DEG
VERTICAL EYE MOVEMENT FOOT SWITCH ON

20
SEC
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30
DEG

20
SEC
30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60
DEG

20
SEC
60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90
DEG

20
SEC
90 92 94 96 98 100 102 104 106 108 110 112 114 116 118 120
DEG

20
SEC
120 122 124 126 128 130 132 134 136 138 140 142 144 146 148 150