Visual vertigo syndrome: Clinical and posturography findings
Open accessAbstract
Neuro-otological and posturography findings in 15 patients with visually induced vertiginous symptoms (visual vertigo) are reported. Thirteen patients were considered to have a peripheral vestibular disorder; seven had abnormal caloric or rotational test results. Two patients had CNS disorder--a cerebellar degeneration and a brainstem stroke. Posturography testing showed that five patients showed abnormally large body sway induced by full field visual motion stimulation. This group included the two patients with CNS disease and four with strabismic symptoms (diplopia, squint surgery, and ocular muscle weakness). It is concluded that visual vertigo is a heterogeneous syndrome with peripheral or central aetiologies and may occur if patients with balance disorders show high visual field dependence. In patients with visual vertigo, the presence of additional CNS or strabismic symptoms may cause inappropriate postural reactions in environments with conflicting or disorienting visual stimuli, probably by reducing the ability to resolve the sensory conflict.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The precipitating factors of PPV, SMD, VV, and CSD span a variety of neuro-otologic, other medical, and psychological conditions.
“The precipitating factors of PPV [13], SMD [39], VV [15], and CSD [79] span a variety of neuro-otologic, other medical, and psychological conditions.”
Trouble with visual motion stimuli is the primary feature of VV and is emphasized in SMD and CSD.
“Trouble with visual motion stimuli is the primary feature of VV [15, 29, 63] and is emphasized in SMD [39, 41, 43] and CSD [75, 81].”
Environments that contain full field visual flow, large complex patterns, or wide-open spaces with distant or indistinct visuospatial reference points are most troublesome for patients with PPPD.
“Environments that contain full field visual flow (e.g., passing traffic especially at high speed on a highway or motorway, large crowds of people milling about), large complex patterns (e.g., an expanse of busy carpeting, large store displays), or wide-open spaces with distant or indistinct visuospatial reference points (e.g., large fields, warehouses, atria) are most troublesome [15, 29, 39, 43,”
SMD and VV informed criterion B of PPPD, but are known to occur in other situations as well.
“They informed criterion B of PPPD, but are known to occur in other situations as well [15, 39].”
Bronstein and colleagues showed that people with VV manifested visual dependence, a trait-like tendency to rely on visual information for spatial orientation.
“Bronstein and colleagues [15, 29, 63] showed that people with VV manifested visual dependence, a trait-like tendency to rely on visual information for spatial orientation.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Visual-Vestibular Interaction: Effects on Self-Motion Perception and Postural Control
DICHGANS, J., & Brandt, T. (1978) · Springer eBooks · doi:10.1007/978-3-642-46354-9_25 · Cited by 792 · see citing works
STUDIES IN HUMAN VESTIBULAR FUNCTION
Fitzgerald, G., & Hallpike, C. S. (1942) · Brain · doi:10.1093/brain/65.2.115 · Cited by 570 · see citing works
VISUAL CONTROL OF BALANCE IN CEREBELLAR AND PARKINSONIAN SYNDROMES
Bronstein, A. M., Hood, J. D., Gresty, M. A., & PANAGI, C. (1990) · Brain · doi:10.1093/brain/113.3.767 · Cited by 265 · see citing works
Self-citationAsch, S. E., & Witkin, H. A. (1948) · Journal of Experimental Psychology · doi:10.1037/h0054121 · Cited by 237 · see citing works
Suppression of visually evoked postural responses
Bronstein, A. M. (1986) · Experimental Brain Research · doi:10.1007/bf00237488 · Cited by 167 · see citing works
Self-citationThe Role of Ocular Muscle Proprioception in Visual Localization of Targets
Gauthier, G. M., Nommay, D., & Vercher, J. (1990) · Science · doi:10.1126/science.2367852 · Cited by 156 · see citing works
Jacob, R. G., Lilienfeld, S. O., Furman, J. M. R., Durrant, J. D., & Turner, S. M. (1989) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(89)90006-6 · Cited by 155 · see citing works
Spatial Localization After Strabismus Surgery: Evidence for Inflow
Steinbach, M. J., & Smith, D. R. (1981) · Science · doi:10.1126/science.7268444 · Cited by 138 · see citing works
Witkin, H. A. (1959) · Scientific American · doi:10.1038/scientificamerican0259-50 · Cited by 123 · see citing works
Motorist's vestibular disorientation syndrome.
Page, N. G. R., & Gresty, M. A. (1985) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.48.8.729 · Cited by 120 · see citing works
Lopez, L. I., Bronstein, A. M., Gresty, M. A., et al. (1992) · Brain · doi:10.1093/brain/115.4.1107 · Cited by 68 · see citing works
Self-citationCompensation for Labyrinthine Defects Examined by use of a Tilting Room
Bles, W., de Jong, J. M. B. V., & de Wit, G. (1983) · Acta Oto-Laryngologica · doi:10.3109/00016488309139445 · Cited by 66 · see citing works
Yardley, L. (1990) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/bf00176542 · Cited by 26 · see citing works
Unsteadiness of cerebellar origin: An investigation into its cause
Hood, J. D. (1980) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100089623 · Cited by 17 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Hood JD. Unsteadiness of cerebellar origin: an investiga- tion into the cause. J Laryngol Otol 1980;94:865-76.
- Fitzgerald G, Hallpike CS. Observations on the directional preponderance of caloric nystagmus resulting from cere- bral lesions. Brain 1942;65:115-37.
- Brandt Th. Vertigo. Berlin: Springer-Verlag, 1991.
- Benson AJ. Motion sickness. In: Dix MR, Hood JD, eds. Vertigo. New York: John Wiley, 1984:391-426.
- Bronstein AM. Visually induced body sway in patients with visual vertigo. In: Taguchi K, Igarashi M, Mori S, eds. Vestibular and neural front, proceedings of the 12th International symposium on posture and gait, Matsumoto, J7apan, 1994. Amsterdam: Elsevier, 1994:569-72.
- Roll JP, Roll R. From eye to foot: a proprioceptive chain involved in postural control. In: Amlard B, Berthoz A, Clarac F, eds. Posture and gait: development, adaptation and modulation. Netherlands: Elsevier Science, 1988: 55-164.
Cited by
Sorted by citations
Staab, J. P., Eckhardt-Henn, A., Horii, A., Jacob, R., Strupp, M., Brandt, T., & Bronstein, A. (2017) · Journal of Vestibular Research · doi:10.3233/ves-170622 · Cited by 840 · see citing works
Self-citationVisual vertigo: Symptom assessment, spatial orientation and postural control
Guerraz, M. (2001) · Brain · doi:10.1093/brain/124.8.1646 · Cited by 369 · see citing works
Popkirov, S., Staab, J. P., & Stone, J. (2018) · Practical Neurology · doi:10.1136/practneurol-2017-001809 · Cited by 334 · see citing works
“In 1995 Bronstein 10 described visual vertigo, which saw patients who had otherwise recovered from acute vestibular disorders reporting dizziness when confronted with complex or Review moving visual stimuli.”
BackgroundBrandt, T. (1996) · Neurology · doi:10.1212/wnl.46.6.1515 · Cited by 323 · see citing works
Background and history of the interface between anxiety and vertigo
Balaban, C. D., & Jacob, R. G. (2001) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(00)00041-4 · Cited by 156 · see citing works
Phobic postural vertigo: A long-term follow–up (5 to 15 years) of 106 patients
Huppert, D., Strupp, M., Rettinger, N., Hecht, J., & Brandt, T. (2005) · Journal of Neurology · doi:10.1007/s00415-005-0699-x · Cited by 118 · see citing works
Panic disorder: the role of the balance system
Perna, G., Dario, A., Caldirola, D., Stefania, B., Cesarani, A., & Bellodi, L. (2001) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(01)00031-0 · Cited by 87 · see citing works
Schniepp, R., Wuehr, M., Huth, S., Pradhan, C., Brandt, T., & Jahn, K. (2014) · Journal of Neurology · doi:10.1007/s00415-014-7259-1 · Cited by 81 · see citing works
Golding, J., Gresty, M., & Bronstein, A. (2013) · Seminars in Neurology · doi:10.1055/s-0033-1354602 · Cited by 64 · see citing works
Self-citationValidity and responsiveness of the visual vertigo analogue scale
Dannenbaum, E., Chilingarian, G., & Fung, J. (2019) · Journal of Neurologic Physical Therapy · doi:10.1097/npt.0000000000000261 · Cited by 33 · see citing works
Visually-induced dizziness is associated with sensitivity and avoidance across all senses
Powell, G., Derry-Sumner, H., Shelton, K., Rushton, S., Hedge, C., Rajenderkumar, D., & Sumner, P. (2020) · Journal of Neurology · doi:10.1007/s00415-020-09817-0 · Cited by 31 · see citing works
- Authors
- Bronstein, A. M.
- Affiliations
- National Hospital for Neurology and Neurosurgery (GB)
- Corresponding author
- Bronstein, A M
- ORCID
- Bronstein, A M
- Venue
- Journal of Neurology, Neurosurgery & Psychiatry
- Publisher
- BMJ
- Published
- 1995-11-01
- Volume
- 59
- Issue
- 5
- Pages
- 472-476
- ISSN
- 0022-3050 (ISSN-L)
- PMC
- PMC1073706
- OpenAlex
- W2100007360
- Cited by
- 307
- References
- 14
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 17 · 2023: 21 · 2022: 18 · 2021: 21 · 2020: 27 · 2019: 15 · 2018: 18 · 2017: 14 · 2016: 9 · 2015: 6 · 2014: 10 · 2013: 15 · 2012: 9
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- visual vertigo, posturography, peripheral vestibular disorders, central vestibular disorders, strabismus, diplopia, cerebellar degeneration, brainstem infarction, sensory conflict, postural control, caloric test
- MeSH terms
- Adult, Eye Movements, Female, Humans, Middle Aged, Posture, Syndrome, Vertigo, Vision, Ocular
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
