Electrical stimulation of the peripheral and central vestibular system.

Journal

Current opinion in neurology

ISSN: 1473-6551

Titre abrégé: Curr Opin Neurol

Pays: England

ID NLM: 9319162

Informations de publication

Date de publication:
26 Oct 2023

Historique:

pubmed: 27 10 2023

medline: 27 10 2023

entrez: 27 10 2023

Statut: aheadofprint

Résumé

Electrical stimulation of the peripheral and central vestibular system using noninvasive (galvanic vestibular stimulation, GVS) or invasive (intracranial electrical brain stimulation, iEBS) approaches have a long history of use in studying self-motion perception and balance control. The aim of this review is to summarize recent electrophysiological studies of the effects of GVS, and functional mapping of the central vestibular system using iEBS in awake patients. The use of GVS has become increasingly common in the assessment and treatment of a wide range of clinical disorders including vestibulopathy and Parkinson's disease. The results of recent single unit recording studies have provided new insight into the neural mechanisms underlying GVS-evoked improvements in perceptual and motor responses. Furthermore, the application of iEBS in patients with epilepsy or during awake brain surgery has provided causal evidence of vestibular information processing in mostly the middle cingulate cortex, posterior insula, inferior parietal lobule, amygdala, precuneus, and superior temporal gyrus. Recent studies have established that GVS evokes robust and parallel activation of both canal and otolith afferents that is significantly different from that evoked by natural head motion stimulation. Furthermore, there is evidence that GVS can induce beneficial neural plasticity in the central pathways of patients with vestibular loss. In addition, iEBS studies highlighted an underestimated contribution of areas in the medial part of the cerebral hemispheres to the cortical vestibular network.

Identifiants

DOI: 10.1097/WCO.0000000000001228 PMID: 37889571

pubmed: 37889571

doi: 10.1097/WCO.0000000000001228

pii: 00019052-990000000-00122

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Subventions

Organisme : NIDCD NIH HHS

ID : R01 DC018304

Pays : United States

Informations de copyright

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