Question
How do ENG protocols differ for testing pediatric patients? What is the youngest age recommended for performing this test? At what point might balance assessment be necessary for pediatric patients?
Answer
Our practice is predominately adult, but we are asked occasionally to evaluate pediatric patients. I believe the youngest we have evaluated is 7-8 years of age. I think you have to do this empirically. Some children are pretty tough and if mom or dad are there and if the audiologist is empathetic and compassionate (I know, lots of ''ifs'' ) it is possible to coach them through the entire ENG examination. Rotary chair testing can be accomplished by having the child sit in the parent's lap. Usually rotary chair tests are better tolerated by children, but they do not replace a good caloric test. I think a vestibular assessment in the pediatric patient is needed whenever there is a suspicion that a vestibular system problem exists.
BIO: Gary P. Jacobson, Ph.D. is Director of the Division of Audiology for the Henry Ford Health System. He is a past-president of the American Society of Neurophysiological Monitoring, current Editor of the American Journal of Audiology (AJA-ASHA) and is an Associate Editor (Electrophysiology) for the Journal of the American Academy of Audiology (JAAA). He serves on the Board of Directors and the Scientific Advisory Committee for the American Tinnitus Association. He is a co-editor of the text the ''Handbook of Balance Function Testing.''
Gary Jacobson, PhD
Professor at Vanderbilt University, Director of the Division of Audiology, and Co-director of the Division of Vestibular Sciences at the Vanderbilt Bill Wilkerson Center at Vanderbilt University Medical Center
Dr. Gary Jacobson is a Professor at Vanderbilt University, Director of the Division of Audiology, and Co-director of the Division of Vestibular Sciences at the Vanderbilt Bill Wilkerson Center at Vanderbilt University Medical Center. He is past editor of the American Journal of Audiology and incoming editor of the Journal of the American Academy of Audiology. Dr. Jacobson is co-editor of the textbooks “Handbook of Balance Function Testing” and “Balance Function Assessment and Management.” He is recipient of both the Honors of the American Speech-Language Hearing Association, and the Jerger Career Award for Research in Audiology from the American Academy of Audiology.
Related Courses
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This edition of the Vanderbilt Audiology Journal Club will cover recent articles and publications on vestibular topics presented by Gary Jacobson, PhD, Richard A. Roberts, PhD and Kelsey Hatton, AuD.
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'Very pragmatic presentation regarding the clinical applications of cortical auditory evoked potentials and the value in using this procedure for the assessment of infants and children'Read Reviews
This course will provide an overview of cortical auditory evoked potentials, current research, benefits and limitations to using CAEPs in a busy clinic, and several case studies.
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