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. 2020 May 22;267(Suppl 1):231–240. doi: 10.1007/s00415-020-09805-4

Fig. 3.

Fig. 3

Symptom cascade in persons susceptible to acrophobia and visual height intolerance, the vicious circle or circulus vitiosus. Anxious concentration on control of postural stability triggers co-contraction of the anti-gravity muscles, thereby causing an increased sensitivity of sensorimotor balance reflexes and a rigid regulation of body sway. This leads to subjective imbalance, which in turn enhances anxious control of posture

(modified from [54])