Environmental Tilt Illusion as the Only Symptom of a Thalamic Astrocytoma

Aldridge, Aric J; Kline, Lanning B.; Girkin, Christopher A.

doi:10.1097/00041327-200306000-00008

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Sometimes RTI causes a feeling of tilting or inversion of the body [4]. Similar visuospatial misperception has been described as environmental tilt illusion [5], inverted vision [6], illusory body tilt [7], or reversal of vision metamorphopsia [8]. Since the patient had visual hallucinations and delusions of persecution, it is important to differentiate RTI from them.…”

Section: Discussionmentioning

confidence: 99%

“…RTI has been reported in patients with various conditions, including central nervous system disease, peripheral vestibular disease, migraine and seizures, severe Guillain-Barre syndrome, and even under physiological conditions [1,[4][5][6][7][8]. It has been hypothesized that RTI is caused by disturbance of the integration of the visuospatial inputs with vestibular and proprioceptive sensations [1,4].…”

Section: Discussionmentioning

confidence: 99%

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Room tilt illusion in Parkinson's disease: Loss of spatial reference frames?

Hayashi

Yamaguchi

Katsumata

et al. 2009

Journal of the Neurological Sciences

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Room tilt illusion in Parkinson's disease: Loss of spatial reference frames?

Hayashi

Yamaguchi

Katsumata

et al. 2009

Journal of the Neurological Sciences

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“…Karnath et al describe disturbed perceptions of postural uprightness in patients with lesions to the posterolateral thalamus, where patients perceive themselves as upright only when tilted toward the side of the lesion [35]. Lesions to posterolateral thalamus do not affect oculomotor function, but can result in abnormal SVV, gait abnormalities, and falls [36], as well as disturbed perceptions of environmental tilt [37]. Somatosensory loss from spinal cord injury or cerebral stroke also impairs the SVV and its adaptation to vestibular stimulation [38].…”

Section: Perception Of Verticalitymentioning

confidence: 99%

Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review

Franke¹,

Walker²,

Cifu³

et al. 2012

JRRD

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Abstract-Vestibular symptoms are persistent and problematic sequelae of blast exposure. Several lines of evidence suggest that these symptoms often stem from injury to the central nervous system. Current methods of assessing the vestibular system have described vestibular deficits that follow traumatic brain injury and differentiate blunt and blast trauma but have not examined the full range of vestibular functions that depend on the cerebral structures above the midbrain. Damage to the central vestibular circuits can lead to deficits in vital processes of spatial perception and navigation, in addition to dizziness and disequilibrium, and may also affect emotional functioning, particularly noradrenergically modulated states of anxiety. Perceptual functions can be assessed to determine the extent of central nervous system involvement in vestibular symptoms and to provide greater confidence when vestibular dysfunction is to be excluded. The ability to detect central vestibular dysfunction will significantly enhance our response to the dizziness and balance symptoms that are a common source of distress for Veterans.

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Clinical and imaging features of the room tilt illusion

et al. 2012

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Room tilt illusion (RTI) is a transient disorder of the environmental visuo-spatial perception consisting of paroxysmal tilts of the visual scene. It is attributed to an erroneous cortical mismatch of the visual and vestibular three-dimensional coordinate maps. Thirteen subjects were included in this retrospective case series. Clinical presentation was 180º rotation of the visual scene following the coronal plane in seven patients. The most common cause for RTI in our series was posterior circulation ischaemia (five cases). Cases of endolymphatic sac tumour, critical illness neuropathy, acute traumatic myelopathy and multiple system atrophy causing RTI are reported for the first time. No case of supratentorial focal lesion was found. In order to describe the clinical and imaging features of RTI, 135 cases previously reported in the literature were reviewed along with our series. There was a male predominance (60.2 %). Mean age was 51.2 ± 20.3 years. The most common location of the injury was the central nervous system (CNS) (61.4 %). Supratentorial and infratentorial structures accounted for the same frequency of lesions. The most common aetiology was cerebral ischaemia (infarction or transient ischaemic episode; 27.7 %). These patients were significantly older and their lesions commonly involved posterior fossa structures when compared to patients with non-vascular disorders. In summary, RTI is a manifestation of several CNS and vestibular disorders, and rarely of peripheral nervous system disorders, triggered by disruption of vestibular and sensory perception or integration. Cerebral ischaemic disorders are the most common aetiology for this rare syndrome.

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Environmental Tilt Illusion as the Only Symptom of a Thalamic Astrocytoma

Cited by 7 publications

References 15 publications

Room tilt illusion in Parkinson's disease: Loss of spatial reference frames?

Room tilt illusion in Parkinson's disease: Loss of spatial reference frames?

Sensorintegrative dysfunction underlying vestibular disorders after traumatic brain injury: A review

Clinical and imaging features of the room tilt illusion

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