Vestibular Neurophysiology

1984 ◽  
Vol 92 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Hugh O. Barber

An important function of the vestibular system is to secure visual stabilization during head movement, and at low-frequency movements the optokinetic and pursuit systems collaborate to this end. Oscillopsia results when eye velocity fails to match head velocity. Simple bedside tests to identify oscillopsia and impaired cancellation of the vestibulo-ocular reflex (VOR) are described. Adaptive plasticity, directed to the goal of maintenance of foveation despite marked changes in the external (e.g., reversed visual surround) or internal (e.g., after labyrinthectomy) environment, is an important attribute of the vestibular system. The flocculus and some of its connections are essential to this function. Reduction of floccular efficiency, as in the elderly, might be an important cause of defective adaptation to a vestibular lesion, such as labyrinthectomy.

1991 ◽  
Vol 1 (3) ◽  
pp. 223-239
Author(s):  
G. Cheron

This study was intended to test the adaptive plasticity of the vestibulo-ocular reflex before and after either a midsagittal or parasagittal incision in the brainstem. Eye movements were measured with the electromagnetic search coil technique during the vestibulo-ocular reflex (VORD) in the dark, the optokinetic reflex (OKN), and the visuo-vestibular adaptive training procedure. Two types of visual-vestibular combined stimulation were applied by means of low frequency stimuli (0.05 to 0.10 Hz). In order to increase or decrease the VORD gain, the optokinetic drum was oscillated either 180∘ out-of-phase or in-phase with the vestibular stimulus turntable. This “training” procedure was applied for 4 hours. Initial measurements of the VORD were normal with a mean gain value of 0.92 ± 0.08. After 4 hours of “training” with the out-of-phase condition (180∘), VORD gain reached mean values of 1.33 ± 0.11 (n = 6 cats). In the in-phase combination, the mean VORD gain decreased from 1.0 to 0.63 ± 0.02 (n = 2 cats). No significant change of VORD phase was found in any of the cats. Midsagittal or parasagittal pontomedullary brainstem incisions were performed in 4 cats. Recovery of the VOR was tested on the 2nd, 7th, and 30th day after operation. After the 30th day, recovery of the VORD gain stabilized at about 66% of the initial preoperative value. At this stage of the recovery, the optokinetic response (OKN) of the midsagittal-Iesioned cats was practically normal: in the parasagittal-Jesioned cats, the postoperative OKN responses were asymmetric. After stabilization of recovery, lesioned cats were trained with the same adaptation procedure. Although the direct effect of the visuo-vestibular combined stimulation during the training was still operative in all lesioned cats, the adaptive plasticity was completely abolished by the lesions. These results suggest that the commissural brainstem network may play a crucial role in the acquisition of the forced VOR adaptation.


2001 ◽  
Vol 11 (1) ◽  
pp. 3-12
Author(s):  
Ji Soo Kim ◽  
James A. Sharpe

The effects of aging on the vertical vestibulo-ocular reflex (VOR), and its interactions with vision during active head motion had not been investigated. We measured smooth pursuit, combined eye-head tracking, the VOR, and its visual enhancement and cancellation during active head motion in pitch using a magnetic search coil technique in 21 younger (age < 65) and 10 elderly (age ⩾ 65) subjects. With the head immobile, subjects pursued a target moving sinusoidally with a frequency range of 0.125 to 2.0 Hz, and with peak target accelerations (PTAs) ranging from 12 to 789Âř/s 2 . Combined eye-head tracking, the VOR in darkness, and its visual enhancement during fixation of an earth-fixed target (VVOR) were measured during active sinusoidal head motion with a peak-to-peak amplitude of 20Âř at frequencies of 0.25, 0.5, 1.0 and 2.0 Hz. The efficacy of VOR cancellation was determined from VOR gains during combined eye-head tracking. VOR and VVOR gains were symmetrical in both directions and did not change with aging, except for reduced gains of the downward VOR and VVOR at low frequency (0.25 Hz). However, in the elderly, smooth pursuit, and combined eye-head tracking gains and the efficacy of cancellation of the VOR were significantly lower than in younger subjects. In both the young and elderly groups, VOR gain in darkness did not vary with the frequency of active head motion while the gains of smooth pursuit, combined eye-head tracking, and VVOR declined with increasing target frequency. VOR and VVOR performance in the elderly implicates relative preservation of neural structures subserving vertical vestibular smooth eye motion in senescence.


2004 ◽  
Vol 14 (6) ◽  
pp. 419-441
Author(s):  
James L. Tangorra ◽  
Lynette A. Jones ◽  
Ian W. Hunter

A method was developed to identify the linear, system level dynamics of the horizontal, angular vestibulo-ocular reflex (VOR) as it stabilized vision during head-free tracking of a visual target. Small amplitude, broad spectrum, stochastic torque perturbations were applied to the head while the subject tracked an unpredictable, moving target with active head and eye motions. Stochastic system identification techniques were used to design the torque and target inputs and to conduct the analysis such that the linear dynamics of the VOR, independently of the visual system's influence on eye motions, were determined. The linear analysis was limited to evaluating VOR dynamics from approximately 0.5 to 4.5 Hz. Nonlinearities in the head-neck system affected the low frequency response of the head to the torque perturbations, and the eye velocity sequence was affected by nonlinearities and degraded by noise at high frequencies. The VOR's gain was near 1.0 between about 0.5 and 2.5 Hz, and then decreased steadily to 0.85 as the frequency increased towards 4.0 Hz. The VOR phase angle was also frequency dependent and corresponded to VOR eye motions lagging the head's disturbance motion by less than 10 ms at frequencies greater than 1.0 Hz.


1998 ◽  
Vol 80 (6) ◽  
pp. 3077-3099 ◽  
Author(s):  
Sergei B. Yakushin ◽  
Theodore Raphan ◽  
Jun-Ichi Suzuki ◽  
Yasuko Arai ◽  
Bernard Cohen

Yakushin, Sergei B., Theodore Raphan, Jun-Ichi Suzuki, Yasuko Arai, and Bernard Cohen. Dynamics and kinematics of the angular vestibulo-ocular reflex in monkey: effects of canal plugging. J. Neurophysiol. 80: 3077–3099, 1998. Horizontal and roll components of the angular vestibulo-ocular reflex (aVOR) were elicited by sinusoidal rotation at frequencies from 0.2 Hz (60°/s) to 4.0 Hz (≈6°/s) in cynomolgus monkeys. Animals had both lateral canals plugged (VC, vertical canals intact), both lateral canals and one pair of the vertical canals plugged (RALP, right anterior and left posterior canals intact; LARP, left anterior and right posterior canal intact), or all six semicircular canal plugged (NC, no canals). In normal animals, horizontal and roll eye velocity was in phase with head velocity and peak horizontal and roll gains were ≈0.8 and 0.6 in upright and 90° pitch, respectively. NC animals had small aVOR gains at 0.2 Hz, and the temporal phases were shifted ≈90° toward acceleration. As the frequency increased to 4 Hz, aVOR temporal gains and phases tended to normalize. Findings were similar for the LARP, RALP, and VC animals when they were rotated in the planes of the plugged canals. That is, they tended to normalize at higher frequencies. A model was developed incorporating the geometric organization of the canals and first order canal-endolymph dynamics. Canal plugging was modeled as an alteration in the low frequency 3-db roll-off and corresponding dominant time constant. The shift in the low-frequency 3-dB roll-off was seen in the temporal responses as a phase lead of the aVOR toward acceleration at higher frequencies. The phase shifted toward stimulus velocity as the frequency increased toward 4.0 Hz. By incorporating a dynamic model of the canals into the three-dimensional canal system, the spatial responses were predicted at all frequencies. Animals were also stimulated with steps of velocity in planes parallel to the plugged lateral canals. This induced a response with a short time constant and low peak velocity in each monkey. Gains were normalized for step rotation with respect to time constant as (steady state eye velocity)/(stimulus acceleration × time constant). Using this procedure, the gains were the same in canal plugged as in normal animals and corresponded to gains obtained in the frequency analysis. The study suggests that canal plugging does not block the afferent response to rotation, it merely shifts the dynamic response to higher frequencies.


2004 ◽  
Vol 14 (4) ◽  
pp. 353-359
Author(s):  
A. Schmid-Priscoveanu ◽  
A.A. Kori ◽  
D. Straumann

In a recent study we demonstrated that otolith input modifies the torsional angular vestibulo-ocular reflex (torVOR) of healthy human subjects: Compared to turntable oscillations in supine position, oscillations in upright position increased the gain of torVOR by 0.1 and cancelled the phase lead originating from low-frequency semicircular canal signals. We asked whether these otolith-related changes of torVOR are still present in patients after vestibular neuritis (VN). Eight patients were sinusoidally oscillated about their naso-occipital axis in supine (canal-only stimulation) and upright (canal-and-otolith stimulation) position. Three-dimensional eye movements were recorded with dual search coils. The patients showed similar otolith-related gain and phase changes of the torVOR as healthy subjects: the gain increased by about 0.1 (p < 0.05) and the low-frequency phase lead from semicircular canal signals was abolished. These results indicate that otolith function after VN is still sufficient to interact with semicircular canal signals to optimize torsional gaze stabilization when the head is upright.


2007 ◽  
Vol 16 (6) ◽  
pp. 285-291
Author(s):  
Michael C. Schubert ◽  
Americo A. Migliaccio ◽  
Charles C. Della Santina

The recruitment of extra-vestibular mechanisms to assist a deficient angular vestibulo-ocular reflex (aVOR) during ipsilesional head rotations is well established and includes saccades of reduced latency that occur in the direction of the lesioned aVOR, termed compensatory saccades (CS). Less well known is the functional relevance of these unique saccades. Here we report a 42 y.o. male diagnosed with right unilateral vestibular hypofunction due to vestibular neuronitis who underwent a vestibular rehabilitation program including gaze stabilization exercises. After three weeks, he had a significant improvement in his ability to see clearly during head rotation. Our data show a reduction in the recruitment and magnitude of CS as well as improved peripheral aVOR gain (eye velocity/head velocity) and retinal eye velocity. Our data suggest an inverse, dynamic relationship between the recruitment of CS and the gain of the aVOR.


2020 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Felix Haxby ◽  
Mohammad Akrami ◽  
Reza Zamani

The vestibular system is located in the inner ear and is responsible for maintaining balance in humans. Bilateral vestibular dysfunction (BVD) is a disorder that adversely affects vestibular function. This results in symptoms such as postural imbalance and vertigo, increasing the incidence of falls and worsening quality of life. Current therapeutic options are often ineffective, with a focus on symptom management. Artificial stimulation of the vestibular system, via a vestibular prosthesis, is a technique being explored to restore vestibular function. This review systematically searched for literature that reported the effect of artificial vestibular stimulation on human behaviours related to balance, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) technique. A total of 21 papers matched the inclusion criteria of the literature search conducted using the PubMed and Web of Science databases (February 2019). The populations for these studies included both healthy adults and patients with BVD. In every paper, artificial vestibular stimulation caused an improvement in certain behaviours related to balance, although the extent of the effect varied greatly. Various behaviours were measured such as the vestibulo-ocular reflex, postural sway and certain gait characteristics. Two classes of prosthesis were evaluated and both showed a significant improvement in at least one aspect of balance-related behaviour in every paper included. No adverse effects were reported for prostheses using noisy galvanic vestibular stimulation, however, prosthetic implantation sometimes caused hearing or vestibular loss. Significant heterogeneity in methodology, study population and disease aetiology were observed. The present study confirms the feasibility of vestibular implants in humans for restoring balance in controlled conditions, but more research needs to be conducted to determine their effects on balance in non-clinical settings.


2019 ◽  
Vol 122 (1) ◽  
pp. 81-92 ◽  
Author(s):  
Helen S. Cohen

Although many studies have reported on tests of the vestibular system a valid and reliable, evidence-based screening battery for easy clinical use remains elusive. Many screening tests attempt to assess the vestibulo-ocular reflex. Therefore, head shaking, the Dix-Hallpike maneuver, the supine roll test, and head impulse tests are discussed. Other tests address the spatial orientation functions of the vestibular system, such as the Bucket Test and the Fukuda Stepping test. Still, other tests are based on the known correlates with balance skills, both static and dynamic, such as tandem walking and the modern variation of the Romberg test, the modified Clinical Test of Sensory Interaction and Balance. This review provides a critical overview of the literature on some of these tests and their value for clinical use and in epidemiological studies.


2003 ◽  
Vol 90 (4) ◽  
pp. 2240-2252 ◽  
Author(s):  
Ángel M. Pastor ◽  
David González-Forero

Abducens neurons undergo a dose-dependent synaptic blockade (either disinhibition or complete blockade) when tetanus neurotoxin (TeNT) is injected into the lateral rectus muscle at either a low (0.5) or a high dose (5 ng/kg). We studied the firing pattern and recruitment order in abducens neurons both in control and after TeNT injection. The eye position threshold for recruitment of control abducens neurons was exponentially related to the eye position and velocity sensitivities. We also found a constancy of recruitment threshold for different eye movement modalities (spontaneous, optokinetic, and vestibular). Exponential relationships were found, as well, for eye velocity sensitivity during saccades and for position and velocity sensitivities during the vestibulo-ocular reflex. Likewise, inverse relationships were found between recruitment threshold or position sensitivity with the antidromic latency in control abducens neurons. These relationships, however, did not apply following TeNT treatment. Neuronal firing after TeNT appeared either disinhibited (low dose) or depressed (high dose), but the relationships between neuronal sensitivities and recruitment still applied. However, the pattern of recruitment shifted toward the treated side as more inputs were blocked by the low- and high-dose treatments, respectively. Nonetheless, although the recruitment-to-sensitivity relationships persisted under the TeNT synaptic blockade, we conclude that synaptic inputs are determinant for establishing the recruitment threshold and recruitment spacing of abducens motoneurons and internuclear neurons.


1999 ◽  
Vol 125 (4) ◽  
pp. 485-494 ◽  
Author(s):  
S. H. Seidman ◽  
G. D. Paige ◽  
D. L. Tomko

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