Abnormal visuo-vestibular interactions in vestibular migraine: a cross sectional study Article Swipe
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· 2018
· Open Access
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· DOI: https://doi.org/10.1093/brain/awy355
Vestibular migraine is among the commonest causes of episodic vertigo. Chronically, patients with vestibular migraine develop abnormal responsiveness to both vestibular and visual stimuli characterized by heightened self-motion sensitivity and visually-induced dizziness. Yet, the neural mechanisms mediating such symptoms remain unknown. We postulate that such symptoms are attributable to impaired visuo-vestibular cortical interactions, which in turn disrupts normal vestibular function. To assess this, we investigated whether prolonged, full-field visual motion exposure, which has been previously shown to modulate visual cortical excitability in both healthy individuals and avestibular patients, could disrupt vestibular ocular reflex and vestibular-perceptual thresholds of self-motion during rotations. Our findings reveal that vestibular migraine patients exhibited abnormally elevated reflexive and perceptual vestibular thresholds at baseline. Following visual motion exposure, both reflex and perceptual thresholds were significantly further increased in vestibular migraine patients relative to healthy controls, migraineurs without vestibular symptoms and patients with episodic vertigo due to a peripheral inner-ear disorder. Our results provide support for the notion of altered visuo-vestibular cortical interactions in vestibular migraine, as evidenced by vestibular threshold elevation following visual motion exposure.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/brain/awy355
- https://academic.oup.com/brain/article-pdf/142/3/606/27986646/awy355.pdf
- OA Status
- hybrid
- Cited By
- 79
- References
- 54
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2914307124
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2914307124Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/brain/awy355Digital Object Identifier
- Title
-
Abnormal visuo-vestibular interactions in vestibular migraine: a cross sectional studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-12-22Full publication date if available
- Authors
-
Nadja Bednarczuk, Angela Bonsu, Marta Casanovas Ortega, Anne‐Sophie Fluri, John Chan, Heiko Rust, Fabiano de Melo, Mishaal Sharif, Barry M. Seemungal, John F. Golding, Diego Kaski, Adolfo M. Bronstein, Qadeer ArshadList of authors in order
- Landing page
-
https://doi.org/10.1093/brain/awy355Publisher landing page
- PDF URL
-
https://academic.oup.com/brain/article-pdf/142/3/606/27986646/awy355.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/brain/article-pdf/142/3/606/27986646/awy355.pdfDirect OA link when available
- Concepts
-
Vestibular system, Audiology, Migraine, Vertigo, Medicine, Psychology, Reflex, Neuroscience, Anesthesia, SurgeryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
79Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 11, 2024: 12, 2023: 14, 2022: 15, 2021: 15Per-year citation counts (last 5 years)
- References (count)
-
54Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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