Narrative:

While enroute to pick up a patient I encountered a visual illusion of a false horizon resulting in a right descending turn. At approximately 400 AGL I recognized the conflict between what appeared to be happening and what the instruments were telling me. I initiated an immediate climb. Since; for most of our operational area; the MSA is 2;000 MSL this was my default target altitude.after arriving at that altitude and giving myself time to master control of the aircraft by instruments; I confirmed my position with my dual GPS systems as well out over the water. I then descended to 1;200 MSL at which altitude I reestablished VFR flight and returned to my home airport.

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Original NASA ASRS Text

Title: A BK-117 pilot suffered disorientation and vertigo on a dark night flight and descended within 400 FT off the surface before realizing his dilemma and regaining control and a safe altitude.

Narrative: While enroute to pick up a patient I encountered a visual illusion of a false horizon resulting in a right descending turn. At approximately 400 AGL I recognized the conflict between what appeared to be happening and what the instruments were telling me. I initiated an immediate climb. Since; for most of our operational area; the MSA is 2;000 MSL this was my default target altitude.After arriving at that altitude and giving myself time to master control of the aircraft by instruments; I confirmed my position with my dual GPS systems as well out over the water. I then descended to 1;200 MSL at which altitude I reestablished VFR flight and returned to my home airport.

Data retrieved from NASA's ASRS site as of April 2012 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.