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Vertigo and drop attacks caused by acute transient monocular disequilibrium (Halpern's syndrome)

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Summary

Among the causes of acute vertigo the syndrome of sensorimotor induction in unilateral disequilibrium (Halpern's syndrome) should be considered. This syndrome was found in a patient and described in detail. The major features of this syndrome are the displacement of vertical and horizontal axes induced by looking with the “affected” eye only, which are further aggravated by applying red filters to the eyes and corrected by blue filters. The symptomatology is described and discussed in detail. Theories causing this syndrome are discussed.

Zusammenfassung

In die Differentialdiagnose des akuten Schwindels sollte das Syndrom der „sensomotorischen Induktion bei einseitiger Gleichgewichtsstörung (Halpernsyndrom)“ einbezogen werden. Es wird eine einschlägige eigene Beobachtung beschrieben. Das Hauptcharakteristikum des Syndromes ist die Verschiebung von vertikalen und horizontalen Linien, welche lediglich durch das Betrachten mit dem „befallenen“ Auge ausgelöst wird und durch das Vorsetzen eines Rotfilters vor das Auge verschlimmert, durch ein Blaufilter gemildert wird. Es wird die Symptomatologie im Detail beschrieben und diskutiert, ebenso wie die pathogenetischen Deutungen.

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On sabbatical leave from the Technion Medical School, Haifa, Israel

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Bental, E., Hammond-Tooke, G.D. Vertigo and drop attacks caused by acute transient monocular disequilibrium (Halpern's syndrome). J. Neurol. 222, 59–66 (1979). https://doi.org/10.1007/BF00313268

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  • DOI: https://doi.org/10.1007/BF00313268

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