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Conditions and Diseases > Vision and Eye Disorders Forum > Vertical Heterophoria Syndrome???
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Q: Vertical Heterophoria Syndrome???
asked by: Pheliciano on February 11th, 2008
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Around 3 months ago I had a drunken fall onto a concrete floor, hitting my forehead hard and splitting the skin open. A day later I started getting vertigo. Every time I sat up from lying down or vice-versa, the room would spin really badly. This recovered after about a week, but i still had other symptoms that remained until a month after the fall such as feeling disconnected, brain-fog, groggyness.

My doctor put me on Prochlorperazine for a week as he said I had 'mild residual vertigo' and a day after coming off the tablets I felt back to normal for a day. That evening I took a Diazepam for a crick in my neck that had developed during the day and the next day I woke up feeling fatigued.

The fatigue has continued since then (about 2 months) but along with it I have a groggy feeling like being slightly tipsy and a kind of brain fog where I don't feel completely with it. I also get occasional fellings of falling or shifting that last for a second or two about 5 or 6 times a day. On top of this I have a tension at my temples which feels like someone is pressing on them constantly. My eyes also feel like the cannot focus properly too. I occassionally get the falling/shifting sensation when I roll over in bed at night too.

The symptoms vary in severity but the brain-fog; groggyness and tiredness are always there to some degree. When I am in a situation with lots going on (for example looking for something specific in a large; busy; unfamilier shop) They symptoms get worse and I feel overwhelmed and as if I am drunk.

I have been to my GP had a CT scan and blood tests which have all come back clear. I have also seen a consultant neurologist who told me that there was nothing wrong with me; that it was brought on by anxiety and that I sould stop worrying so much.

I don't think it is anxiety as the only times I feel anxious are when I think about my symptoms. The anxiety may be making things worse, but I think it is brought on the by the presence of the symptoms.

My co-ordination, memory etc all seem unaffected, which make it difficult for the doctors to understand what I am feeling

I've heard of a condition called Vertical Heterophoria Syndrome which sounds to have similar symptoms to what I'm feeling. Does anyone know if it is a likely cause of what I have or if it is more likely to be related to the head injury, or in fact be something completely different?

It doesn't seem to be debilitating in any physical way, but it's absolutely horrible, and the reaction I have to busy places has made me somewhat reclusive.

Thanks loads.
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mrgreen
replied on February 27th, 2009
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I have had the same symptoms you describe for nearly 30 years. I had all the usual tests when it first developed (when I was 25 years old) but all came back clear. I ma a male aged 55 now and live in the UK. I am still researching for a "cure" because, like you I was siagnosed with Anxiety but know that it is only these unpleasant symptoms that cause my anxiety. I have read today about Vertical Heterophoria Syndrome but there is no one in the UK that is practise the procuedures. The only one I can find is "vision specialists" of Birmingham Mass. USA.

I'd be really interested in the result if you try them.

Good Luck Smile
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jodygirl321
replied on July 7th, 2009
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Hello, I too have experienced what you both have....and I have an inner ear disorder called Endolymphatic Hydrops. It is similar to Meniere's, and it is an imbalance of the fluid in the middle ear. About two months ago, I woke up in the middle of the night after turning over...I tried to stand and could not. It felt like I was being pulled toward the ground. I felt like up was down, left was right, very hard to explain. It was not the same as the spinning vertigo that I experienced thirty years ago. I went to a vestibular doctor and they said it is BPPV. It's when the crystals get into the wrong canal in your middle ear, and you have to get them back to the proper canal. This can be done with the Epley Maneuver. If you see a vestibular specialist, they can do it in the office...or you can do it at home but it probably won't be done correctly. It sounds to me like maybe BPPV (which stands for BENIGN PAROXYSMAL POSITIONAL VERTIGO) and is common from what I understand. Hope this helps. I still have symptoms that you describe, especially the "pulls" that go on through the day. I have not had the in office Epley Maneuver (I am a big chicken). They say BPPV can go away on its own, but sometimes can come back.
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hmom
replied on September 1st, 2009
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VHS?
Actually, it is Vision Specialists of Birmingham, Michigan -- not Massachusetts. I left their office a couple of hours ago after being diagnosed with VHS. I really don't know much about it (hence the web search this afternoon). I had some prism lens clipped onto my glasses for about an hour in their office and I definitely noticed a difference in the way I felt. It's really hard to describe. I felt like things were clearer - not visually, but mentally. I have to say it was really odd. That and the crick I got in my neck from having my head straight instead of slightly tilted. I'm pretty excited about getting actual glasses with he prisms in them. If this solves half of little annoying issues, I'll be thrilled. Anyway, according to the literature at the office, head trauma can cause VHS or worsen a case that was there but not a problem before. I'd encourage you to check it out if you are still having issues (I know it's 7 months later).
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