Skip to main content

Advertisement

Log in

Unilateral vestibular deafferentation impairs embodied spatial cognition

  • Original Communication
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

A growing number of studies indicate that cognitive complaints are common in patients with peripheral vestibular disorders. A better understanding of how vestibular disorders influence cognition in these patients requires a clear delineation of the cognitive domains affected by vestibular disorders. Here, we compared the consequences of left and right vestibular neurectomy on third-person perspective taking—a visuo-spatial task requiring mainly own-body mental imagery, and on 3D objects mental rotation imagery—requiring object-based mental imagery, but no perspective taking. Patients tested 1 week after a unilateral vestibular neurectomy and a group of age- and gender-matched healthy participants played a virtual ball-tossing game from their own first-person perspective (1PP) and from the perspective of a distant avatar (third-person perspective, 3PP). Results showed larger response times in the patients with respect to their controls for the 3PP taking task, but not for the 1PP task and the 3D objects mental imagery. In addition, we found that only patients with left vestibular neurectomy presented altered 3PP taking abilities when compared to their controls. This study suggests that unilateral vestibular loss affects mainly own-body mental transformation and that only left vestibular loss seems to impair this cognitive process. Our study also brings further evidence that vestibular signals contribute to the sensorimotor bases of social cognition and strengthens the connections between the so far distinct fields of social neuroscience and human vestibular physiology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Smith PF (2017) The vestibular system and cognition. Curr Opin Neurol 30:84–89. https://doi.org/10.1097/WCO.0000000000000403

    Article  PubMed  Google Scholar 

  2. Bigelow RT, Agrawal Y (2015) Vestibular involvement in cognition: visuospatial ability, attention, executive function, and memory. J Vestib Res Equilib Orientat 25:73–89. https://doi.org/10.3233/VES-150544

    Article  Google Scholar 

  3. Bigelow RT, Semenov YR, du Lac S et al (2016) Vestibular vertigo and comorbid cognitive and psychiatric impairment: the 2008 National Health Interview Survey. J Neurol Neurosurg Psychiatry 87:367–372. https://doi.org/10.1136/jnnp-2015-310319

    Article  PubMed  Google Scholar 

  4. Popp P, Wulff M, Finke K et al (2017) Cognitive deficits in patients with a chronic vestibular failure. J Neurol 264:554–563. https://doi.org/10.1007/s00415-016-8386-7

    Article  PubMed  Google Scholar 

  5. Péruch P, Borel L, Gaunet F et al (1999) Spatial performance of unilateral vestibular defective patients in nonvisual versus visual navigation. J Vestib Res 9:37–47

    PubMed  Google Scholar 

  6. Brandt T, Schautzer F, Hamilton DA et al (2005) Vestibular loss causes hippocampal atrophy and impaired spatial memory in humans. Brain 128:2732–2741

    Article  PubMed  Google Scholar 

  7. Allum JHJ, Langewitz W, Sleptsova M et al (2017) Mental body transformation deficits in patients with chronic balance disorders. J Vestib Res Equilib Orientat 27:113–125. https://doi.org/10.3233/VES-170613

    Article  CAS  Google Scholar 

  8. Grabherr L, Cuffel C, Guyot JP, Mast FW (2011) Mental transformation abilities in patients with unilateral and bilateral vestibular loss. Exp Brain Res 209:205–214. https://doi.org/10.1007/s00221-011-2535-0

    Article  PubMed  Google Scholar 

  9. Péruch P, Lopez C, Redon C et al (2011) Vestibular information is necessary for maintaining metric properties of representational space: evidence from mental imagery. Neuropsychologia 49:3136–3144

    Article  PubMed  Google Scholar 

  10. Candidi M, Micarelli A, Viziano A et al (2013) Impaired mental rotation in benign paroxysmal positional vertigo and acute vestibular neuritis. Front Hum Neurosci 7:783. https://doi.org/10.3389/fnhum.2013.00783

    Article  PubMed  PubMed Central  Google Scholar 

  11. Dieterich M, Bense S, Lutz S et al (2003) Dominance for vestibular cortical function in the non-dominant hemisphere. Cereb Cortex 13:994–1007

    Article  CAS  PubMed  Google Scholar 

  12. Dieterich M, Kirsch V, Brandt T (2017) Right-sided dominance of the bilateral vestibular system in the upper brainstem and thalamus. J Neurol 264:55–62. https://doi.org/10.1007/s00415-017-8453-8

    Article  PubMed  Google Scholar 

  13. Saj A, Honoré J, Bernard-Demanze L et al (2013) Where is straight ahead to a patient with unilateral vestibular loss? Cortex 49:1219–1228. https://doi.org/10.1016/j.cortex.2012.05.019

    Article  PubMed  Google Scholar 

  14. Hüfner K, Hamilton DA, Kalla R et al (2007) Spatial memory and hippocampal volume in humans with unilateral vestibular deafferentation. Hippocampus 17:471–485. https://doi.org/10.1002/hipo.20283

    Article  PubMed  Google Scholar 

  15. Kessler K, Thomson LA (2010) The embodied nature of spatial perspective taking: embodied transformation versus sensorimotor interference. Cognition 114:72–88. https://doi.org/10.1016/j.cognition.2009.08.015

    Article  PubMed  Google Scholar 

  16. Deroualle D, Borel L, Devèze A, Lopez C (2015) Changing perspective: the role of vestibular signals. Neuropsychologia 79(Part B):175–185. https://doi.org/10.1016/j.neuropsychologia.2015.08.022

    Article  PubMed  Google Scholar 

  17. David N, Bewernick BH, Cohen MX et al (2006) Neural representations of self versus other: visual-spatial perspective taking and agency in a virtual ball-tossing game. J Cogn Neurosci 18:898–910

    Article  PubMed  Google Scholar 

  18. Becker-Bense S, Dieterich M, Buchholz H-G et al (2014) The differential effects of acute right- vs. left-sided vestibular failure on brain metabolism. Brain Struct Funct 219:1355–1367. https://doi.org/10.1007/s00429-013-0573-z

    Article  CAS  PubMed  Google Scholar 

  19. Pavlidou A, Ferrè ER, Lopez C (2018) Vestibular stimulation makes people more egocentric. Cortex J Devoted Study Nerv Syst Behav 101:302–305. https://doi.org/10.1016/j.cortex.2017.12.005

    Article  Google Scholar 

  20. Lopez C, Elzière M (2018) Out-of-body experience in vestibular disorders—a prospective study of 210 patients with dizziness. Cortex J Devoted Study Nerv Syst Behav 104:193–206. https://doi.org/10.1016/j.cortex.2017.05.026

    Article  Google Scholar 

  21. Macauda G, Moisa M, Mast FW et al (2019) Shared neural mechanisms between imagined and perceived egocentric motion—a combined GVS and fMRI study. Cortex J Devoted Study Nerv Syst Behav 119:20–32. https://doi.org/10.1016/j.cortex.2019.04.004

    Article  Google Scholar 

  22. Koos WT, Day JD, Matula C, Levy DI (1998) Neurotopographic considerations in the microsurgical treatment of small acoustic neurinomas. J Neurosurg 88:506–512. https://doi.org/10.3171/jns.1998.88.3.0506

    Article  CAS  PubMed  Google Scholar 

  23. Deroualle D, Lopez C (2014) Toward a vestibular contribution to social cognition. Front Integr Neurosci 8:16. https://doi.org/10.3389/fnint.2014.00016

    Article  PubMed  PubMed Central  Google Scholar 

  24. Lenggenhager B, Lopez C, Blanke O (2008) Influence of galvanic vestibular stimulation on egocentric and object-based mental transformations. Exp Brain Res 184:211–221

    Article  PubMed  Google Scholar 

  25. Lopez C, Nakul E, Preuss N et al (2018) Distorted own-body representations in patients with dizziness and during caloric vestibular stimulation. J Neurol 265:86–94. https://doi.org/10.1007/s00415-018-8906-8

    Article  PubMed  Google Scholar 

  26. Toupet M, Van Nechel C, Bozorg Grayeli A (2014) Influence of body laterality on recovery from subjective visual vertical tilt after vestibular neuritis. Audiol Neurootol 19:248–255. https://doi.org/10.1159/000360266

    Article  PubMed  Google Scholar 

  27. Bigelow RT, Semenov YR, Trevino C et al (2015) Association between visuospatial ability and vestibular function in the Baltimore longitudinal study of aging. J Am Geriatr Soc 63:1837–1844. https://doi.org/10.1111/jgs.13609

    Article  PubMed  PubMed Central  Google Scholar 

  28. Falconer CJ, Mast FW (2012) Balancing the mind: vestibular induced facilitation of egocentric mental transformations. Exp Psychol 59:332–339. https://doi.org/10.1027/1618-3169/a000161

    Article  PubMed  Google Scholar 

  29. Secora K, Emmorey K (2019) Social abilities and visual-spatial perspective-taking skill: deaf signers and hearing nonsigners. J Deaf Stud Deaf Educ. https://doi.org/10.1093/deafed/enz006

    Article  PubMed  Google Scholar 

  30. Stackman RW, Clark AS, Taube JS (2002) Hippocampal spatial representations require vestibular input. Hippocampus 12:291–303. https://doi.org/10.1002/hipo.1112

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The research leading to these results has received funding from the People Programme (Marie Curie Actions) of the European Union’s Seventh Framework Programme (FP7/2007-2013) under REA Grant agreement number 333607 (‘BODILYSELF, vestibular and multisensory investigations of bodilyself-consciousness’).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christophe Lopez.

Ethics declarations

Conflicts of interest

C. Lopez serves as an associate editor of Frontiers in Integrative Neuroscience and guest editor of Frontiers in Neurology.

Ethical standard

Ethical approvals have been obtained from the local ethics committees (Comité de Protection des Personnes Sud-Mediterranée II, 2011-A01221-40) and participants provided informed consent in accordance with the Declaration of Helsinki.

Additional information

This manuscript is part of a supplement sponsored by the German Federal Ministry of Education and Research within the funding initiative for integrated research and treatment centers.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Deroualle, D., Borel, L., Tanguy, B. et al. Unilateral vestibular deafferentation impairs embodied spatial cognition. J Neurol 266 (Suppl 1), 149–159 (2019). https://doi.org/10.1007/s00415-019-09433-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-019-09433-7

Keywords

Navigation