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Recovery from Spatial Neglect with Intra- and Transhemispheric Functional Connectivity Changes in Vestibular and
Julian Conrad1,2, Rainer Boegle2,3, Matthias Ertl1,3
1Department of Neurology, Ludwig-Maximilians-Universität, Munich, Germany.
Frontiers in Neurology
|March 20, 2018
Summary
Caloric vestibular stimulation temporarily improves spatial neglect by altering brain connectivity. Long-term recovery involves similar but distinct neural network changes, highlighting vestibular and visual system roles.
Area of Science:
- Neuroscience
- Neuroimaging
- Vestibular System Research
Background:
- Vestibular signals are crucial for spatial orientation and higher cortical functions.
- Vestibular dysfunction is linked to spatial neglect, a condition potentially treatable with caloric stimulation.
- The precise roles of vestibular and visual systems in neglect recovery remain unclear.
Observation:
- Resting-state functional connectivity (fc) MRI was used to study a patient with hemispatial neglect.
- Data were collected during the acute phase and 6 months post-recovery, before and after caloric vestibular stimulation.
- Analysis focused on seed regions in the vestibular (OP2), parietal (PPC), and visual cortex (VC).
Findings:
- Acute caloric stimulation increased right OP2 connectivity within the vestibular network and reduced interhemispheric visual cortex connectivity.
- After 6 months, spontaneous vestibular network connectivity increased, alongside enhanced connections between vestibular, parietal, and visual cortices.
- Short-term improvement involved increased vestibular network connectivity to the para-hippocampus and anterior cingulum, with reduced interhemispheric visual cortex connectivity.
Implications:
- Caloric stimulation offers a transient mechanism for improving spatial orientation in neglect.
- Long-term neglect recovery involves overlapping yet distinct neural mechanisms compared to acute stimulation effects.
- Understanding these distinct pathways can inform therapeutic strategies for spatial neglect and related disorders.
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