Tool

SVV simulator

Drag a luminous line in a featureless dark surround until it looks vertical. Select a disease preset to see typical tilt magnitudes from the literature.

Healthy adult, within ±2°.

Click or tap and drag the line until you perceive it as vertical. Arrow keys nudge by 0.5°; shift+arrow nudges by 5°. Select a disease preset to see typical tilt magnitudes from the literature.

How to use it

The simulator presents a luminous line on a black background — a software analogue of the bucket or hemispheric dome paradigm. Click and drag the line to rotate it; arrow keys nudge by 0.5° (shift-arrow by 5°); pressing ‘0’ resets to true vertical.

Picking a disease preset reveals the typical tilt magnitude reported in peer-reviewed series for that condition. These are illustrative values, not patient data; real measurements vary with chronicity, dominant nerve division, age, and method.

Teaching uses

For trainees: estimate the tilt by eye before revealing the angle. For teaching rounds: run a blinded session — present the line at a preset value and ask the group to call the lesion level (peripheral vs pontomedullary vs pontomesencephalic).

Subjective Visual Vertical

An interactive teaching atlas of Subjective Visual Vertical for the assessment of otolith-graviceptive function — bucket and digital technique, dynamic SVV, normal findings, and the tilt signatures of peripheral and central vestibular disease. Content synthesised from current Bárány Society criteria, peer-reviewed vestibular literature, and standard otoneurology texts.

→ Full references & acknowledgements
Built for

Medical students, ENT / Neurology / Audiology trainees, vestibular therapists, and clinicians who want to teach themselves the language of vertigo.

Concept & design
Dr Prahlada N.B

Karnataka ENT Hospital and Research Centre (R),
Champions Educational and Medical Society (R),
Amogh Foundation, Chitradurga, Karnataka, India

Please share your valuable feedback to:
prahladnb@kenthospitals.com

Disclaimer

For educational purposes only. Not for clinical use. The Subjective Visual Vertical chapter is an instructional resource intended to support learning about SVV and the assessment of otolith-graviceptive function. Clinicians remain completely responsible for the interpretation of findings, the formulation of a differential diagnosis, and any clinical decision. Nothing in this application replaces individualized assessment, hands-on training, expert consultation, or established practice guidelines.

© 2026 Dr Prahlada N.B · Karnataka ENT Hospital and Research Centre (R) · Champions Educational and Medical Society (R) · Amogh Foundation, Chitradurga, Karnataka, India
Feedback