Thalamocortical network: a core structure for integrative multimodal vestibular functions.
Thomas Brandt1,2, Marianne Dieterich1,3,4
1German Center for Vertigo and Balance Disorders.
Current Opinion in Neurology
|November 22, 2018
Summary
The human thalamus integrates multisensory vestibular information, with right-hemisphere dominance observed in sensorimotor and cognitive functions. Lesions rarely cause rotational vertigo, instead leading to disorientation due to distinct vestibular pathway coding.
Area of Science:
- Neuroscience
- Vestibular System Research
- Cognitive Neuroscience
Background:
- The thalamus acts as a crucial relay station for sensory input.
- Neuronal modules for sensorimotor and cognitive functions are organized in hubs.
- The human thalamus integrates multisensory vestibular information.
Purpose of the Study:
- To apply the concept of nonreflexive sensorimotor and cognitive vestibular functions and disturbances to right and left thalamocortical systems.
- To explore the role of the thalamus as an integrative hub for vestibular function.
- To understand the lateralization of vestibular functions in the thalamocortical system.
Main Methods:
- Review of imaging studies on functional connectivity.
- Analysis of connectivity-based parcellation studies.
- Mathematical simulation of vestibular dysfunction coding.
Main Results:
- Right-hemisphere dominance in upper brainstem and thalamus for right-handers.
- Asymmetrical organization of the parieto-insular vestibular cortex.
- No crossings of vestibular pathways within thalamic nuclei complexes.
- Central vestibular syndromes rarely manifest with rotational vertigo.
Conclusions:
- The thalamus serves as an integrative hub for higher multisensory vestibular function.
- Structural and functional separation of thalamic nuclei allows hemispheric lateralization.
- Different spatial reference systems are utilized in opposite hemispheres for sensorimotor and cognitive tasks.
- Unilateral vestibular dysfunction is coded differently, explaining varied vertigo symptoms.
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