pdf-2015 rmn irm lopez

Feb 29, 2016 - Vestibular vertigo. Epileptic vertigo and intracranial stimulation in epileptic patients. Hewett et al. 2011 Epilepsy & Behavior. Isnard et al.Missing:
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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Explorations du cortex vestibulaire

Christophe Lopez CR CNRS Laboratoire de neurosciences intégratives et adaptatives UMR 7260

Vestibular projections to the central nervous system Cortex

3a

PIVC

Vestibulo-cortical system

Thalamus Oculomotor nuclei

Vestibular nuclei Ves ner tibul a ve VIII r

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ganglion of Scarpa

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

The vestibular thalamus

Vestibular neurons are organized in small patches distributed in the thalamus rather than in clearly identified nuclei

The vestibular cortex

Parieto-insular vestibular cortex (PIVC) Grüsser et al. 1991 J Physiol Guldin and Grüsser 1998, Trends Neurosci

Lopez and Blanke 2011 Brain Res Reviews

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(C) Christophe Lopez CNRS UMR 7260

The vestibular cortex

29/02/16

Parieto-insular vestibular cortex (PIVC) Grüsser et al. 1991 J Physiol Guldin and Grüsser 1998, Trends Neurosci

vestibular neurons

Electrophysiology: vestibular neurons were “in the upper bank of the lateral sulcus around the posterior end of the insula, [… and] more posteriorly in the retroinsular region or more anteriorly in the parietal operculum.” Macaca fascicularis Grusser et al. 1991, J Physiol

Where are the vestibular areas in the human cortex? Where is the human analog of the monkey PIVC?

Epileptic vertigo and intracranial stimulation in epileptic patients Vestibular vertigo

Hewett et al. 2011 Epilepsy & Behavior Isnard et al. 2004 Epilepsia [4/50 stim] Nguyen et al. 2009 Epilepsia [3% stim]

Lopez and Blanke, 2011 Brain Research Reviews

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Intracranial stimulation in epileptic patients Penfield, W. “Vestibular Sensation and the Cerebral Cortex.” Ann Otol Rhinol Laryngol 66 (1957): 691–698.

7/108 stimulations

Vestibular representations in the human insula: intracranial stimulation •  219 epileptic patients •  641 electrical stimulations in the insula Mazzola*, Lopez* et al. 2014

POST

ANT

somatosensory (n=330)

viscerosensitive (n=81)

auditory (n=44)

vestibular (n=41)

dysarthria (n=28)

taste (n=17)

Mazzola, Lopez et al. (2014) Annals of Neurology

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Vestibular representations in the human insula: intracranial stimulation Clinical responses: 642 stimulations /

541 evoked a clinical response / 41 vestibular sensations

instability spinning sensation restricted to the head

levitation body rising falling

yaw plane rotations (7) roll plane rotations (2)

Vestibular representations in the human insula: intracranial stimulation

POST

POST

ANT

ANT

central sulcus of the insula

Central sulcus of the insula Y coordinate ANT

Z coordinate

POST

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Functional neuroimaging in healthy participants Lopez & Blanke, 2011 Brain Research Reviews The thalamocortical vestibular system in animals and humans

caloric vestibular stimulation (CVS)

galvanic vestibular stimulation (GVS)

sound-induced activation (saccular stimulation)

A meta-analytic definition of the vestibular cortex

caloric

galvanic

sounds Lopez, Blanke & Mast (2012) Neuroscience

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

A meta-analytic definition of the vestibular cortex

PIVC: parieto-insular vestibular cortex rhesus monkey

Parietal operculum

Chen et al. 2010 J Neurosci

insula

Retroinsular cortex

Lopez, Blanke & Mast (2012) Neuroscience

Ig: granular insular cortex

Laterality of vestibular projections – Hemispheric dominance in righthanded participants

Lopez et al. (2012) Neuroscience

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Laterality of vestibular projections – Hemispheric dominance in righthanded participants

Lopez et al. (2012) Neuroscience

Laterality of vestibular projections – Effect of handedness

(100 ml of warm water at 44°C for ∼50 s)

Dieterich et al. 2003 Cerebral Cortex

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Spatio-temporal pattern of vestibular information processing •  electroencephalography

6 ms !! it’s the latency for the activation of five distinct cortical zones: -  prefrontal cortex -  frontal cortex -  ipsilateral temporo-parietal cortex -  anterior SMA -  contralateral parietal cortex

de Waele et al. 2001 Exp Brain Res

A vestibular cortical network

Human

parietal operculum (OP2)

functional connectivity analysis

zu Eulenburg et al. 2012 Neuroimage

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

A Comparison of Vestibular Spatiotemporal Tuning in PIVC, VIP and MST Chen et al 2011 J Neuroscience

PIVC

Progressive shift toward longer peak times from PIVC to VIP to MSTd:

VIP

MSTd

Multisensory integration in the vestibular system

vision

touch proprioception

touch proprioception

vision vision

touch proprioception

Lopez and Blanke, 2011 Brain Research Reviews, adapted from Grüsser et al. 1994

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(C) Christophe Lopez CNRS UMR 7260

29/02/16

Multisensory integration in the vestibular system

Vestibular stimulation

Neural impulse rate (spike/s)

PIVC

Grüsser et al., 1998

0

2.5

5s

Optokinetic stimulation

0

2.5

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5s

Neural impulse rate (spike/s)

Grüsser et al., 1990

Neural impulse rate (spike/s)

Proprioceptive stimulation

0

2.5

5s

Grüsser et al. 1990 J Physiol

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