The Halpern syndrome of monocular visual vertigo: A rare cause of monocular eye closure

Research output: Contribution to journalReview article

Abstract

Background: Halpern syndrome is a vestibular disorder characterized by vertigo, a tendency to tilt to one side, and spontaneous closure of the ipsilateral eye. Symptoms are exacerbated during monocular viewing with the ipsilateral eye and alleviated during monocular viewing with the contralateral eye. It has long been attributed to a mismatch between visual and vestibular input. Methods: Reexamination of Halpern syndrome in light of new concepts of visuo-vestibular disease. Results: The visually dependent postural disequilibrium in Halpern syndrome recapitulates the dorsal light reflex in fish, in which unequal luminance input to the two eyes evokes a tilt of the body toward the brighter side. Conclusion: Patients with Halpern syndrome close one eye to restore vertical postural orientation. Halpern syndrome may result from reactivation the dorsal light reflex in the setting of central vestibular disease.

Original languageEnglish (US)
Pages (from-to)157-161
Number of pages5
JournalStrabismus
Volume19
Issue number4
DOIs
StatePublished - Dec 2011

Fingerprint

Vertigo
Vestibular Diseases
Reflex
Light
Fishes

Keywords

  • Dorsal light reflex
  • Halpern syndrome
  • monocular visual vertigo

ASJC Scopus subject areas

  • Ophthalmology

Cite this

The Halpern syndrome of monocular visual vertigo : A rare cause of monocular eye closure. / Brodsky, Michael C.

In: Strabismus, Vol. 19, No. 4, 12.2011, p. 157-161.

Research output: Contribution to journalReview article

@article{49adc013cd0c4bc5893a579bfcf2c501,
title = "The Halpern syndrome of monocular visual vertigo: A rare cause of monocular eye closure",
abstract = "Background: Halpern syndrome is a vestibular disorder characterized by vertigo, a tendency to tilt to one side, and spontaneous closure of the ipsilateral eye. Symptoms are exacerbated during monocular viewing with the ipsilateral eye and alleviated during monocular viewing with the contralateral eye. It has long been attributed to a mismatch between visual and vestibular input. Methods: Reexamination of Halpern syndrome in light of new concepts of visuo-vestibular disease. Results: The visually dependent postural disequilibrium in Halpern syndrome recapitulates the dorsal light reflex in fish, in which unequal luminance input to the two eyes evokes a tilt of the body toward the brighter side. Conclusion: Patients with Halpern syndrome close one eye to restore vertical postural orientation. Halpern syndrome may result from reactivation the dorsal light reflex in the setting of central vestibular disease.",
keywords = "Dorsal light reflex, Halpern syndrome, monocular visual vertigo",
author = "Brodsky, {Michael C}",
year = "2011",
month = "12",
doi = "10.3109/09273972.2011.626832",
language = "English (US)",
volume = "19",
pages = "157--161",
journal = "Strabismus",
issn = "0927-3972",
publisher = "Informa Healthcare",
number = "4",

}

TY - JOUR

T1 - The Halpern syndrome of monocular visual vertigo

T2 - A rare cause of monocular eye closure

AU - Brodsky, Michael C

PY - 2011/12

Y1 - 2011/12

N2 - Background: Halpern syndrome is a vestibular disorder characterized by vertigo, a tendency to tilt to one side, and spontaneous closure of the ipsilateral eye. Symptoms are exacerbated during monocular viewing with the ipsilateral eye and alleviated during monocular viewing with the contralateral eye. It has long been attributed to a mismatch between visual and vestibular input. Methods: Reexamination of Halpern syndrome in light of new concepts of visuo-vestibular disease. Results: The visually dependent postural disequilibrium in Halpern syndrome recapitulates the dorsal light reflex in fish, in which unequal luminance input to the two eyes evokes a tilt of the body toward the brighter side. Conclusion: Patients with Halpern syndrome close one eye to restore vertical postural orientation. Halpern syndrome may result from reactivation the dorsal light reflex in the setting of central vestibular disease.

AB - Background: Halpern syndrome is a vestibular disorder characterized by vertigo, a tendency to tilt to one side, and spontaneous closure of the ipsilateral eye. Symptoms are exacerbated during monocular viewing with the ipsilateral eye and alleviated during monocular viewing with the contralateral eye. It has long been attributed to a mismatch between visual and vestibular input. Methods: Reexamination of Halpern syndrome in light of new concepts of visuo-vestibular disease. Results: The visually dependent postural disequilibrium in Halpern syndrome recapitulates the dorsal light reflex in fish, in which unequal luminance input to the two eyes evokes a tilt of the body toward the brighter side. Conclusion: Patients with Halpern syndrome close one eye to restore vertical postural orientation. Halpern syndrome may result from reactivation the dorsal light reflex in the setting of central vestibular disease.

KW - Dorsal light reflex

KW - Halpern syndrome

KW - monocular visual vertigo

UR - http://www.scopus.com/inward/record.url?scp=81855196075&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81855196075&partnerID=8YFLogxK

U2 - 10.3109/09273972.2011.626832

DO - 10.3109/09273972.2011.626832

M3 - Review article

C2 - 22107121

AN - SCOPUS:81855196075

VL - 19

SP - 157

EP - 161

JO - Strabismus

JF - Strabismus

SN - 0927-3972

IS - 4

ER -