Temporal dynamics of semicircular canal and otolith function following acute unilateral vestibular deafferentation in humans |
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Authors: | Jun-ru Tian Akira Ishiyama " target="_blank">Joseph L Demer |
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Institution: | (1) Department of Ophthalmology, University of California, Los Angeles, CA 90095-7002, USA;(2) Department of Neurology, University of California, Los Angeles, CA 90095-7002, USA;(3) Department of Head and Neck Surgery, University of California, Los Angeles, CA 90095-7002, USA;(4) Jules Stein Eye Institute, University of California, 100 Stein Plaza, Los Angeles, CA 90095-7002, USA;(5) Neuroscience Interdepartmental Program, University of California, Los Angeles, CA 90095-7002, USA;(6) Bioengineering Interdepartmental Program, University of California, Los Angeles, CA 90095-7002, USA |
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Abstract: | Dynamic changes of deficits in canal and otolith vestibulo-ocular reflexes (VORs) to high acceleration, eccentric yaw rotations
were investigated in five subjects aged 25–65 years before and at frequent intervals 3–451 days following unilateral vestibular
deafferentation (UVD) due to labyrinthectomy or vestibular neurectomy. Eye and head movements were recorded using magnetic
search coils during transients of directionally random, whole-body rotation in darkness at peak acceleration 2,800°/s2. Canal VORs were characterized during rotation about a mid-otolith axis, viewing a target 500 cm distant until rotation onset
in darkness. Otolith VOR responses were characterized by the increase in VOR gain during identical rotation about an axis
13 cm posterior to the otoliths, initially viewing a target 15 cm distant. Pre-UVD canal gain was directionally symmetrical,
averaging 0.87 ± 0.02 (±SEM). Contralesional canal gain declined from pre-UVD by an average of 22% in the first 3–5 days post-UVD,
before recovering to an asymptote of close 90% of pre-UVD level at 1–3 months. This recovery corresponded to resolution of
spontaneous nystagmus. Ipsilesional gain declined to 59%, and showed no consistent recovery afterwards. Pre-UVD otolith gain
was directionally symmetrical, averaging 0.56 ± 0.02. Immediately after UVD, the contralesional otolith gain declined to 0.30 ± 0.02,
and did not recover. Ipsilesional otolith gain declined profoundly to 0.08 ± 0.03 (P < 0.01), and never recovered. In contrast to the modest and directionally symmetrical effect of UVD on the human otolith
VOR during pure translational acceleration, otolith gain during eccentric yaw rotation exhibited a profound and lasting deficit
that might be diagnostically useful in lateralizing otolith pathology. Most recovery of the human canal gain to high acceleration
transients following UVD is for contralesional head rotation, occurring within 3 months as spontaneous nystagmus resolves.
Grant support: United States Public Health Service grants DC-02952 and AG-09693. JLD is Leonard Apt Professor of Ophthalmology. |
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Keywords: | Eye movements Otolith Semicircular canal Vestibulo-ocular reflex Saccades |
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