Effect of Semicircular Canal Stimulation on the Perception of the Visual Vertical

2003 ◽  
Vol 90 (2) ◽  
pp. 622-630 ◽  
Author(s):  
Marousa Pavlou ◽  
Nicole Wijnberg ◽  
Mary E. Faldon ◽  
Adolfo M. Bronstein
Keyword(s):  
Semicircular Canal ◽  
Three Dimensional ◽  
Vertical Axis ◽  
Normal Subjects ◽  
Slow Phase ◽  
Visual Vertical ◽  
Axis Rotation ◽  
Highly Correlated ◽  
Head Positions ◽  
Direction Opposite

The subjective visual vertical (SVV) is usually considered a measure of otolith function. Herewith we investigate the influence of semicircular canal (SCC) stimulation on the SVV by rotating normal subjects in yaw about an earth-vertical axis, with velocity steps of ± 90°/s, for 60 s. SVV was assessed by setting an illuminated line to perceived earth vertical in darkness, during a per- and postrotary period. Four head positions were tested: upright, 30° backward (chin up) or forward, and ∼40° forward from upright. During head upright/backward conditions, a significant SVV tilt ( P < 0.01) in the direction opposite to rotation was found that reversed during postrotary responses. The rotationally induced SVV tilt had a time constant of decay of ∼30 s. Rotation with the head 30° forward did not affect SVV, whereas the 40° forward tilt caused a direction reversal of SVV responses compared with head upright/backward. Spearman correlation values (Rho) between individual SCC efficiencies in different head positions and mean SVV tilts were 0.79 for posterior, 0.34 for anterior, and – 0.80 for horizontal SCCs. Three-dimensional video-oculography showed that SVV and torsional eye position measurements were highly correlated (0.83) and in the direction opposite to the slow phase torsional vestibuloocular reflex. In conclusion: 1) during yaw axis rotation without reorientation of the head with respect to gravity, the SVV is influenced by SCC stimulation; 2) this effect is mediated by the vertical SCCs, particularly the posterior SCCs; 3) rotationally induced SVV changes are due to torsional ocular tilt; 4) SVV and ocular tilts occur in the “anticompensatory,” fast phase direction of the torsional nystagmus; and 5) clinically, abnormal SVV tilts cannot be considered a specific indication of otolith system dysfunction.

Verticality Perception During Off-Vertical Axis Rotation

2007 ◽  
Vol 97 (5) ◽  
pp. 3256-3268 ◽  
Author(s):  
R.A.A. Vingerhoets ◽  
J.A.M. Van Gisbergen ◽  
W. P. Medendorp
Keyword(s):  
Time Course ◽  
Rotation Speed ◽  
Interaction Model ◽  
Vertical Axis ◽  
Subsequent Increase ◽  
Dynamic Component ◽  
Visual Vertical ◽  
Axis Rotation ◽  
Highly Correlated ◽  
Perceptual Changes

During prolonged rotation about a tilted yaw axis, often referred to as off-vertical axis rotation (OVAR), a percept of being translated along a conical path slowly emerges as the sense of rotation subsides. Recently, we found that these perceptual changes are consistent with a canal–otolith interaction model that attributes the illusory translation percept to improper interpretation of the ambiguous otolith signals. The model further predicts that the illusory translation percept must be accompanied by slowly worsening tilt underestimates. Here, we tested this prediction in six subjects by measuring the time course of the subjective visual vertical (SVV) during OVAR stimulation at three different tilt-rotation speed combinations, in complete darkness. Throughout the 2-min run, at each left-ear-down and right-ear-down position, the subject indicated whether a briefly flashed line deviated clockwise or counterclockwise from vertical to determine the SVV with an adaptive staircase procedure. Typically, SVV errors indicating tilt underestimation were already present at rotation onset and then increased exponentially to an asymptotic value, reached at about 60 s after rotation onset. The initial error in the SVV was highly correlated to the response error in a static tilt control experiment. The subsequent increase in error depended on both rotation speed and OVAR tilt angle, in a manner predicted by the canal–otolith interaction model. We conclude that verticality misjudgments during OVAR reflect a dynamic component linked to canal–otolith interaction, superimposed on a tilt-related component that is also expressed under stationary conditions.

Off-Vertical Axis Rotational Responses in Patients with Unilateral Peripheral Vestibular Lesions

1993 ◽  
Vol 102 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Joseph M. R. Furman ◽  
Robert H. Schor ◽  
Donald B. Kamerer
Keyword(s):  
Eye Movement ◽  
Semicircular Canal ◽  
Rotational Velocity ◽  
Angular Acceleration ◽  
Population Data ◽  
Vertical Axis ◽  
Normal Subjects ◽  
Otolith Organs ◽  
Rapid Decay ◽  
Axis Rotation

Off-vertical axis rotation (OVAR) stimulates the otolith organs in a manner that is suitable for assessment of the otolith-ocular reflex. To further assess the potential clinical usefulness of OVAR, the eye movement responses of seven patients with surgically confirmed unilateral peripheral vestibular lesions were compared with the eye movement responses of a group of age-matched, healthy, asymptomatic control subjects. Patients and controls were tested with constant velocity rotations that followed a brief period of angular acceleration (velocity trapezoid) using either earth-vertical axis (EVA) rotation or OVAR. Both EVA and OVAR sinusoidal velocity profiles were also performed. Results indicated that each patient had 1) an asymmetric OVAR response, ie, a bias component whose direction was opposite normal when rotating toward the lesioned ear, and 2) a normal modulation component. Population data suggested that patients had 1) a more rapid decay of response than normal subjects during OVAR velocity trapezoids, 2) an increased phase lead as compared to normal subjects during sinusoidal OVAR, and 3) like normal subjects, a less rapid decay of response during OVAR velocity trapezoids than during EVA rotational velocity trapezoids. Taken together, these findings suggest that patients with unilateral peripheral vestibular deficits have abnormal otolith-ocular and semicircular canal—ocular reflexes but that a single labyrinth appears to provide an otolithic signal sufficient for qualitatively normal semicircular canal—otolith interaction.

Three-Dimensional Computation during Off-Vertical Axis Rotation (OVAR) in Monkeys

2006 ◽  
Vol 65 (6) ◽  
pp. 429-439 ◽  
Author(s):  
Keisuke Kushiro ◽  
Jun Maruta
Keyword(s):  
Three Dimensional ◽  
Vertical Axis ◽  
Axis Rotation

Modeling 3-D Slow Phase Velocity Estimation During Off-Vertical-Axis Rotation (OVAR)

1992 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Charles Schnabolk ◽  
Theodore Raphan
Keyword(s):  
Polarization Vector ◽  
Vertical Axis ◽  
Cross Product ◽  
Interesting Property ◽  
Velocity Estimation ◽  
Three Dimensions ◽  
Slow Phase ◽  
Head Orientation ◽  
Head Velocity ◽  
Axis Rotation

Off-vertical-axis rotation (OVAR) in darkness generates continuous compensatory eye velocity. No model has yet been presented that defines the signal processing necessary to estimate head velocity in three dimensions for arbitrary rotations during OVAR. The present study develops a model capable of estimating all 3 components of head velocity in space accurately. It shows that processing of two patterns of otolith activation, one delayed with respect to the other, for each plane of eye movement is not sufficient. (A pattern in this context is an array of signals emanating from the otoliths. Each component of the array is a signal corresponding to a class of otolith hair cells with a given polarization vector as described by Tou and Gonzalez in 1974.) The key result is that estimation of head velocity in space can be achieved by processing three temporally displaced patterns, each representing a sampling of gravity as the head rotates. A vector cross product of differences between pairs of the sampled gravity vectors implements the estimation. An interesting property of this model is that the component of velocity about the axis of rotation reduces to that derived previously using the pattern estimator model described by Raphan and Schnabolk in 1988 and Fanelli et al in 1990. This study suggests that the central nervous system (CNS) maintains a current as well as 2 delayed representations of gravity at every head orientation during rotation. It also suggests that computing vector cross products and implementing delays may be fundamental operations in the CNS for generating orientation information associated with motion.

Vestibulo-ocular function in anxiety disorders

2007 ◽  
Vol 16 (4-5) ◽  
pp. 209-215
Author(s):  
Joseph M. Furman ◽  
Mark S. Redfern ◽  
Rolf G. Jacob
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Semicircular Canal ◽  
Constant Velocity ◽  
Vertical Axis ◽  
Velocity Storage ◽  
Movement Response ◽  
Ocular Reflex ◽  
Axis Rotation ◽  
High Degree

Previous studies of vestibulo-ocular function in patients with anxiety disorders have suggested a higher prevalence of peripheral vestibular dysfunction compared to control populations, especially in panic disorder with agoraphobia. Also, our recent companion studies have indicated abnormalities in postural control in patients with anxiety disorders who report a high degree of space and motion discomfort. The aim of the present study was to assess the VOR, including the semicircular canal-ocular reflex, the otolith-ocular reflex, and semicircular canal-otolith interaction, in a well-defined group of patients with anxiety disorders. The study included 72 patients with anxiety disorders (age 30.6 +/− 10.6 yrs; 60 (83.3% F) and 29 psychiatrically normal controls (age 35.0 +/minus; 11.6 yrs; 24 (82.8% F). 25 patients had panic disorder; 47 patients had non-panic anxiety. Patients were further categorized based on the presence (45 of 72) or absence (27 of 72) of height phobia and the presence (27 of 72) or absence (45 of 72) of excessive space and motion discomfort (SMD). Sinusoidal and constant velocity earth-vertical axis rotation (EVAR) was used to assess the semicircular canal-ocular reflex. Constant velocity off-vertical axis rotation (OVAR) was used to assess both the otolith-ocular reflex and static semicircular canal-otolith interaction. Sinusoidal OVAR was used to assess dynamic semicircular canal-otolith interaction. The eye movement response to rotation was measured using bitemporal electro-oculography. Results showed a significantly higher VOR gain and a significantly shorter VOR time constant in anxiety patients. The effect of anxiety on VOR gain was significantly greater in patients without SMD as compared to those with SMD. Anxiety patients without height phobia had a larger OVAR modulation. We postulate that in patients with anxiety, there is increased vestibular sensitivity and impaired velocity storage. Excessive SMD and height phobia seem to have a mitigating effect on abnormal vestibular sensitivity, possibly via a down-weighting of central vestibular pathways.

scholarly journals Functional Mapping of Human Sensorimotor Cortex with 3D BOLD fMRI Correlates Highly with H215O PET rCBF

1996 ◽  
Vol 16 (5) ◽  
pp. 755-764 ◽  
Author(s):  
Nick F. Ramsey ◽  
Brenda S. Kirkby ◽  
Peter Van Gelderen ◽  
Karen F. Berman ◽  
Jeff H. Duyn ◽  
...  
Keyword(s):  
Sensorimotor Cortex ◽  
Three Dimensional ◽  
Normal Subjects ◽  
Blood Oxygen Level Dependent ◽  
Blood Oxygenation ◽  
Positron Emission ◽  
Signal Changes ◽  
Highly Correlated ◽  
Centers Of Mass ◽  
H215o Pet

Positron emission tomography (PET) functional imaging is based on changes in regional cerebral blood flow (rCBF). Functional magnetic resonance imaging (fMRI) is based on a variety of physiological parameters as well as rCBF. This study is aimed at the cross validation of three-dimensional (3D) fMRI, which is sensitive to changes in blood oxygenation, with oxygen-15-labeled water (H215O) PET. Nine normal subjects repeatedly performed a simple finger opposition task during fMRI scans and during PET scans. Within-subject statistical analysis revealed significant (“activated”) signal changes ( p < 0.05, Bonferroni corrected for number of voxels) in contralateral primary sensorimotor cortex (PSM) in all subjects with fMRI and with PET. With both methods, 78% of all activated voxels were located in the PSM. Overlap of activated regions occurred in all subjects (mean 43%, SD 26%). The size of the activated regions in PSM with both methods was highly correlated ( rho = 0.87, p < 0.01). The mean distance between centers of mass of the activated regions in the PSM for fMRI versus PET was 6.7 mm (SD 3.0 mm). Average magnitude of signal change in activated voxels in this region, expressed as z-values adapted to timeseries, zt, was similar (fMRI 5.5, PET 5.3). Results indicate that positive blood oxygen level-dependent (BOLD) signal changes obtained with 3D principles of echo shifting with a train of observations (PRESTO) fMRI are correlated with rCBF, and that sensitivity of fMRI can equal that of H215O PET.

Contribution of Vestibular Commissural Pathways to Spatial Orientation of the Angular Vestibuloocular Reflex

1997 ◽  
Vol 78 (2) ◽  
pp. 1193-1197 ◽  
Author(s):  
Susan Wearne ◽  
Theodore Raphan ◽  
Bernard Cohen
Keyword(s):  
Spatial Orientation ◽  
Semicircular Canal ◽  
Vertical Axis ◽  
Vestibular Stimulation ◽  
Velocity Storage ◽  
Vestibuloocular Reflex ◽  
Time Constants ◽  
Commissural Pathways ◽  
Before And After ◽  
Axis Rotation

Wearne, Susan, Theodore Raphan, and Bernard Cohen. Contribution of vestibular commissural pathways to spatial orientation of the angular vestibuloocular reflex. J. Neurophysiol. 78: 1193–1197, 1997. During nystagmus induced by the angular vestibuloocular reflex (aVOR), the axis of eye velocity tends to align with the direction of gravitoinertial acceleration (GIA), a process we term “spatial orientation of the aVOR.” We studied spatial orientation of the aVOR in rhesus and cynomolgus monkeys before and after midline section of the rostral medulla abolished all oculomotor functions related to velocity storage, leaving the direct optokinetic and vestibular pathways intact. Optokinetic afternystagmus and the bias component of off-vertical-axis rotation were lost, and the aVOR time constant was reduced to a value commensurate with the time constants of primary semicircular canal afferents. Spatial orientation of the aVOR, induced either during optokinetic or vestibular stimulation, was also lost. Vertical and roll aVOR time constants could no longer be lengthened in side-down or supine/prone positions, and static and dynamic tilts of the GIA no longer produced cross-coupling from the yaw to pitch and yaw to roll axes. Consequently, the induced nystagmus remained entirely in head coordinates after the lesion, regardless of the direction of the resultant GIA vector. Gains of the aVOR and of optokinetic nystagmus to steps of velocity were unaffected or slightly increased. These results are consistent with a model in which the direct aVOR pathways are organized in semicircular canal coordinates and spatial orientation is restricted to the indirect (velocity storage) pathways.

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