Welcome to the Pretoria Dizziness and Imbalance Clinic and thank you for visiting our website.

We are a multi-professional team involved in the assessment and management of chronic dizziness and balance problems.

Our typical patients are persons with chronic dizziness, Meniere’s disease, benign paroxysmal positional vertigo (BPPV), postural phobic dizziness and vestibular neuritis.

We operate the Dizziness and Balance Clinic form the consulting rooms at the Cintocare Hospital, level 4, room 4 and 5.

More information on Cintocare Hospital can be obtained at www.cintocare.com

When contacting our clinic for an appointment , you are expected to fill an online dizziness questionnaire at https://dizzyguide.net. The link where the questionnaire can be filled in will be  e-mailed to you. 

This will allow us to spend more valuable time on you when consulting with one of our doctors.

This will also enable us to plan more properly for possible further special investigations prior to your consultation.  

 

Consultations with patients with dizziness and balance problems typically last 45 minutes to an hour and a half. The consultation might include the following:

  • Discussion of the main complaint and history of the dizziness.
  • An ear, nose, throat, head, neck, and neuro-otological examination.   
  • Binocular video nystagmography which include the following:
  • Central oculomotor tests
  • Peripheral vestibular tests.
  • Positional vestibular tests
  • Hall-pike and advanced Dix Hall-pike test
  • Gait and Balance tests
  • Video Head Impulse Testing (V-HIT)
  • Ocular tilt Reaction (OCR)
  • Dynamic Visual Acuity (DVA)

On completion of all the tests the patient might be referred for further tests at our Radiologists, Audiologists or Physiotherapists.

Such further tests might include a Cone Beam CT scan of your inner ears, MRI scan with contrast medium of your brain or inner ears, diagnostic hearing tests, C and O- Vemps, as well as dynamic posturography, air caloric tests and vestibular rehabilitation.

A follow up examination is required to discuss all the findings and tests with the patient and the possible management of the condition.

We also facilitate a multi-disciplinary dizziness and balance discussion group on a weekly basis where the following disciplines are involved:

  • Ear, nose and throat specialists
  • Audiologists
  • Physiotherapists
  • Neurologists
  • Psychologists, 
  • Psychiatrists
  • Optometrist 

The costs involved for an appointment at the clinic are as follows:

If you are a member of a medical aid with funds available that cover the consultation and examination a co-payment of R1200 is payable on the day of the consultation and the balance is claimed directly from the medical aid.

You are also requested to obtain authorisation from your medical aid for the following codes: 

ICD-10 Diagnostic Codes:

H81.1 BPPV, H81.0 Meniers, H83.0 Labyrinthitis, R42.0 Dizziness

H81.4 Central Vertigo, R42: Vertigo, H83.0: Labyrinthitis

H83.2: Labyrinthine Dysfunction, Hypofunction, loss of function,

SAMA Code

Descriptor

Discovery

0192

Prolonged first vertigo consultation: 45 min – 75min (27U) 

New and established patient: Consultation/ visit of new or established patient of long duration and/or high complexity. Extensive diagnoses or management options. Requires a comprehensive history of main complaint and related system review. Includes counselling with the patient and/or family and co-ordination with other health care providers or liaison with third parties on behalf of the patient. 

R1200.00

3256

Binocular Video-nystagmoscopy. Inter Acoustics Visual eyes 525 System.

R734.40

5210

Binocular Nystagmus tests: Spontaneous, including gaze and fixation nystagmus.

R148.50

5211

Nystagmus tests: Positional, minimum of 4 positions.

R132.50

5213

Nystagmus tests: Optokinetic bidirectional, foveal, or peripheral stimulation

R104.80

3258

Otolith Repositioning Maneuver

R205.60

3251

Minimum Caloric Test

R146.90

3275

Tympanometry

R95.90

3276

Acoustic reflexes

R95.90

3258

Video Head Impulse Test (vHIT), Rule C, Equivalent code

R205.60

For medical aid patients for which their medical aid option does not cover the consultation as well as private patients the fee is R3 452. We do provide credit card facilities.

R1200 + R2252 (tests alone)

Instructions prior to vestibular assessment appointment

A vestibular assessment will help to determine the cause of your dizziness or imbalance. During this test, eye movements will be recorded while you follow lights and lie in different positions.
Please read the following important information and instructions before your appointment so we can obtain accurate test results.
48 hours before the test:
· do not consume alcohol
· do not take medication for dizziness, nausea or motion sickness
· do not take sedatives
· do not take sleep medication or tranquilizers
· do not take antidepressants or pain medication, unless you have been taking them for the past 2 months
On the day of the test:
· do not consume caffeine (coffee, tea, chocolate, cola)
· do not use make-up or oils on skin
· dress comfortable
· bring you glasses or contact lenses, (but we will ask you to remove it for the testing)
Two hours before the test:
· do not smoke
· do not eat fatty, oily foods
· eat a light breakfast or lunch
· you may drink milk or fruit juice
You may continue taking the following vital medication for:
· heart and blood pressure
· seizures / epilepsy
· insulin / diabetes
· thyroid
· anti-coagulants
· birth control
· prescription medication taken for more than 2 months
If you have any questions about the test or these instructions, please contact Andre or Roanne at the practice of Dr Carl Swanepoel.

MDVIF – Multi- disciplinary vestibular and
imbalance forum.

Weekly Zoom meetings – Wednesdays from 8h00 – 9h00

The purpose of the meeting is to discuss patients with dizziness and imbalance in an multi – disciplinary setting, to
establish the optimal treatment for each patient.

The forum consists of all disciplines involved in dizziness and imbalance patients including Ear, nose and throat
specialists, Neuro Otologist, Psychiatrists, Audiologists, Physiotherapists, Psycologists and Optometrists.imhttps://dizzyguide.net/