Cited by 178Vestibular and auditory disordersVisual perception and processing mechanismsHallucinations in medical conditions

Vision and vertigo

Bronstein, Adolfo M.·2004·Journal of Neurology

Abstract

This review deals with two syndromes, oscillopsia and visual vertigo. Oscillopsia is the illusion of oscillation of the visual surroundings. For diagnosis purposes one should ask, when does the oscillopsia occur? If oscillopsia is only present during head (or whole body) movements, the likely underlying cause is a bilateral defect in the vestibulo-ocular reflex (VOR). The more common causes are post meningitic vestibular damage, gentamicin ototoxicity or bilateral idiopathic vestibular failure. When oscillopsia develops after specific head positions, it is usually due to a positional nystagmus, usually the result of brainstem-cerebellar disease. When the oscillopsia is largely unrelated to head movements, one should ask, is it fairly constant or is it in attacks (paroxysmal)? If the oscillopsia is constant it is usually due to the presence of a clinically observable nystagmus; the most common is downbeat nystagmus but the most visually disabling is pendular nystagmus. If the oscillopsia comes in brief attacks it is usually due to a paroxysmal nystagmus as observed in irritative VIII nerve and brainstem lesions. However, the most common cause of paroxysmal oscillopsia is a non organic condition called voluntary nystagmus. Treatment of oscillopsia is often pharmacological but disappointing; the best chance of success is carbamazepine for paroxysmal disorders secondary to structural vestibular nerve/nuclear lesions.Visual vertigo should not be confused with oscillopsia. It can b…

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Crossref · 10.1007/s00415-004-0410-7

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Authors
Bronstein, A. M.
Affiliations
Charing Cross Hospital (GB)
Corresponding author
Bronstein, Adolfo M.
Venue
Journal of Neurology
Published
2004-04-01
Volume
251
Issue
4
Pages
381-387
ISSN
  • 0012-1037 (ISSN-L)
  • 0340-5354
  • 1432-1459
OpenAlex
W9488502
Cited by
178
References
0
Citations by year
2026: 11 · 2025: 10 · 2024: 6 · 2023: 9 · 2022: 13 · 2021: 9 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 9 · 2015: 8 · 2014: 6 · 2013: 10 · 2012: 9
FWCI
4.52
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Neurology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Visual perception and processing mechanisms
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
Keywords
oscillopsia, visual vertigo, vestibulo-ocular reflex, positional nystagmus, downbeat nystagmus, pendular nystagmus, gentamicin ototoxicity, vestibular rehabilitation, carbamazepine
MeSH terms
Humans, Illusions, Vertigo, Vision, Ocular, Vision Disorders, Vestibular Diseases, Head Movements

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