The human brain networks mediating the vestibular sensation of self-motion
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Published version
Author(s)
Type
Journal Article
Abstract
Vestibular Agnosia - where peripheral vestibular activation triggers the usual reflex nystagmus response but with attenuated or no self-motion perception - is found in brain disease with disrupted cortical network functioning, e.g. traumatic brain injury (TBI) or neurodegeneration (Parkinson's Disease). Patients with acute focal hemispheric lesions (e.g. stroke) do not manifest vestibular agnosia. Thus, brain network mapping techniques, e.g. resting state functional MRI (rsfMRI), are needed to interrogate functional brain networks mediating vestibular agnosia. Hence, we prospectively recruited 39 acute TBI patients with preserved peripheral vestibular function and obtained self-motion perceptual thresholds during passive yaw rotations in the dark and additionally acquired whole-brain rsfMRI in the acute phase. Following quality-control checks, 26 patient scans were analyzed. Using self-motion perceptual thresholds from a matched healthy control group, 11 acute TBI patients were classified as having vestibular agnosia versus 15 with normal self-motion perception thresholds. Using independent component analysis on the rsfMRI data, we found altered functional connectivity in bilateral lingual gyrus and temporo-occipital fusiform cortex in the vestibular agnosia patients. Moreover, regions of interest analyses showed both inter-hemispheric and intra-hemispheric network disruption in vestibular agnosia. In conclusion, our results show that vestibular agnosia is mediated by bilateral anterior and posterior network dysfunction and reveal the distributed brain mechanisms mediating vestibular self-motion perception.
Date Issued
2022-12
Date Acceptance
2022-10-11
Citation
Journal of the Neurological Sciences, 2022, 443, pp.1-11
ISSN
0022-510X
Publisher
Elsevier BV
Start Page
1
End Page
11
Journal / Book Title
Journal of the Neurological Sciences
Volume
443
Copyright Statement
© 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
License URL
Sponsor
Medical Research Council (MRC)
National Institute for Health Research
National Institute for Health Research
(US) Department of Defense Defense Health Program, Congressionally Directed Medical Research Programs
US Army (US)
Racing Foundation
The Racing Foundation
Imperial Health Charity
Health Education England (HEE)
Ministry of Defence
Identifier
https://www.sciencedirect.com/science/article/pii/S0022510X22003203?via%3Dihub
Grant Number
MR/P006493/1
RDA26
ICA-CDRF-2017-03-070
IMP-248848-03/PO #68308105
197/229
GG1516\100028
ICA-CDRF-2017-03-070
1570897
Subjects
Resting-state functional connectivity
Self-motion perception
Traumatic brain injury
Vertigo
Vestibular agnosia
Vestibular cognition
1103 Clinical Sciences
1109 Neurosciences
1701 Psychology
Publication Status
Published
Article Number
120458
Date Publish Online
2022-10-15