Vestibular compensation: the neuro-otologist’s best friend
Identifieur interne : 000017 ( Main/Exploration ); précédent : 000016; suivant : 000018Vestibular compensation: the neuro-otologist’s best friend
Auteurs : Michel Lacour [France] ; Christoph Helmchen [Allemagne] ; Pierre-Paul Vidal [France]Source :
- Journal of Neurology [ 0340-5354 ] ; 2016.
Abstract
Why vestibular compensation (VC) after an acute unilateral vestibular loss is the neuro-otologist’s best friend is the question at the heart of this paper. The different plasticity mechanisms underlying VC are first reviewed, and the authors present thereafter the dual concept of vestibulo-centric versus distributed learning processes to explain the compensation of deficits resulting from the static versus dynamic vestibular imbalance. The main challenges for the plastic events occurring in the vestibular nuclei (VN) during a post-lesion critical period are neural protection, structural reorganization and rebalance of VN activity on both sides. Data from animal models show that modulation of the ipsilesional VN activity by the contralateral drive substitutes for the normal push–pull mechanism. On the other hand, sensory and behavioural substitutions are the main mechanisms implicated in the recovery of the dynamic functions. These newly elaborated sensorimotor reorganizations are vicarious idiosyncratic strategies implicating the VN and multisensory brain regions. Imaging studies in unilateral vestibular loss patients show the implication of a large neuronal network (VN, commissural pathways, vestibulo-cerebellum, thalamus, temporoparietal cortex, hippocampus, somatosensory and visual cortical areas). Changes in gray matter volume in these multisensory brain regions are structural changes supporting the sensory substitution mechanisms of VC. Finally, the authors summarize the two ways to improve VC in humans (neuropharmacology and vestibular rehabilitation therapy), and they conclude that VC would follow a “top-down” strategy in patients with acute vestibular lesions. Future challenges to understand VC are proposed.
Url:
DOI: 10.1007/s00415-015-7903-4
PubMed: 27083885
PubMed Central: 4833803
Affiliations:
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xml:lang="fr">France</country><wicri:regionArea>Université Aix-Marseille/CNRS, UMR 7260, Fédération de Recherche 3C, Centre de St Charles, 3 Place Victor Hugo, 13331 Marseille Cedex 03</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff4">21 Impasse des Vertus, 13710 Fuveau, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>21 Impasse des Vertus, 13710 Fuveau</wicri:regionArea><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Fuveau</settlement></placeName></affiliation></author><author><name sortKey="Helmchen, Christoph" sort="Helmchen, Christoph" uniqKey="Helmchen C" first="Christoph" last="Helmchen">Christoph Helmchen</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Neurology, University Hospitals Schleswig–Holstein, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, University Hospitals Schleswig–Holstein, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck</wicri:regionArea><wicri:noRegion>23538 Lübeck</wicri:noRegion><wicri:noRegion>23538 Lübeck</wicri:noRegion><wicri:noRegion>23538 Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Vidal, Pierre Paul" sort="Vidal, Pierre Paul" uniqKey="Vidal P" first="Pierre-Paul" last="Vidal">Pierre-Paul Vidal</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Université Paris Descartes/CNRS, UMR-MD-SSA, COGNAC-G (COGNition and Action Group), 45 Rue des Saints Pères, 75270 Paris Cedex 06, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université Paris Descartes/CNRS, UMR-MD-SSA, COGNAC-G (COGNition and Action Group), 45 Rue des Saints Pères, 75270 Paris Cedex 06</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of Neurology</title><idno type="ISSN">0340-5354</idno><idno type="eISSN">1432-1459</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Why vestibular compensation (VC) after an acute unilateral vestibular loss is the neuro-otologist’s best friend is the question at the heart of this paper. The different plasticity mechanisms underlying VC are first reviewed, and the authors present thereafter the dual concept of vestibulo-centric versus distributed learning processes to explain the compensation of deficits resulting from the static versus dynamic vestibular imbalance. The main challenges for the plastic events occurring in the vestibular nuclei (VN) during a post-lesion critical period are neural protection, structural reorganization and rebalance of VN activity on both sides. Data from animal models show that modulation of the ipsilesional VN activity by the contralateral drive substitutes for the normal push–pull mechanism. On the other hand, sensory and behavioural substitutions are the main mechanisms implicated in the recovery of the dynamic functions. These newly elaborated sensorimotor reorganizations are vicarious idiosyncratic strategies implicating the VN and multisensory brain regions. Imaging studies in unilateral vestibular loss patients show the implication of a large neuronal network (VN, commissural pathways, vestibulo-cerebellum, thalamus, temporoparietal cortex, hippocampus, somatosensory and visual cortical areas). Changes in gray matter volume in these multisensory brain regions are structural changes supporting the sensory substitution mechanisms of VC. Finally, the authors summarize the two ways to improve VC in humans (neuropharmacology and vestibular rehabilitation therapy), and they conclude that VC would follow a “top-down” strategy in patients with acute vestibular lesions. Future challenges to understand VC are proposed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lacour, M" uniqKey="Lacour M">M Lacour</name></author><author><name sortKey="Borel, L" uniqKey="Borel L">L Borel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilson, Vj" uniqKey="Wilson V">VJ Wilson</name></author><author><name sortKey="Melvill Jones, Gm" uniqKey="Melvill Jones G">GM Melvill Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferre, Er" uniqKey="Ferre E">ER Ferre</name></author><author><name sortKey="Longo, Mr" uniqKey="Longo M">MR Longo</name></author><author><name sortKey="Fiori, M" uniqKey="Fiori M">M Fiori</name></author><author><name sortKey="Haggard, P" uniqKey="Haggard P">P Haggard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Angelaki, De" uniqKey="Angelaki D">DE 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uniqKey="Rocha S">SM Rocha</name></author><author><name sortKey="Pires, J" uniqKey="Pires J">J Pires</name></author><author><name sortKey="Esteves, M" uniqKey="Esteves M">M Esteves</name></author><author><name sortKey="Baltazar, G" uniqKey="Baltazar G">G Baltazar</name></author><author><name sortKey="Bernardino, L" uniqKey="Bernardino L">L Bernardino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tighilet, B" uniqKey="Tighilet B">B Tighilet</name></author><author><name sortKey="Mourre, C" uniqKey="Mourre C">C Mourre</name></author><author><name sortKey="Trottier, S" uniqKey="Trottier S">S Trottier</name></author><author><name sortKey="Lacour, M" uniqKey="Lacour M">M Lacour</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mijovic, T" uniqKey="Mijovic T">T Mijovic</name></author><author><name sortKey="Carriot, J" uniqKey="Carriot J">J Carriot</name></author><author><name sortKey="Zeitouni, A" uniqKey="Zeitouni A">A Zeitouni</name></author><author><name sortKey="Cullen, Ke" uniqKey="Cullen K">KE Cullen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Magnusson, M" uniqKey="Magnusson M">M Magnusson</name></author><author><name sortKey="Kahlon, B" uniqKey="Kahlon B">B Kahlon</name></author><author><name sortKey="Karlberg, M" uniqKey="Karlberg M">M Karlberg</name></author><author><name sortKey="Lindberg, S" uniqKey="Lindberg S">S Lindberg</name></author><author><name sortKey="Siesjo, P" uniqKey="Siesjo P">P Siesjö</name></author><author><name sortKey="Tjernstrom, F" uniqKey="Tjernstrom F">F Tjernström</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>Île-de-France</li></region><settlement><li>Fuveau</li><li>Marseille</li><li>Paris</li></settlement></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Lacour, Michel" sort="Lacour, Michel" uniqKey="Lacour M" first="Michel" last="Lacour">Michel Lacour</name></region><name sortKey="Lacour, Michel" sort="Lacour, Michel" uniqKey="Lacour M" first="Michel" last="Lacour">Michel Lacour</name><name sortKey="Vidal, Pierre Paul" sort="Vidal, Pierre Paul" uniqKey="Vidal P" first="Pierre-Paul" last="Vidal">Pierre-Paul Vidal</name></country><country name="Allemagne"><noRegion><name sortKey="Helmchen, Christoph" sort="Helmchen, Christoph" uniqKey="Helmchen C" first="Christoph" last="Helmchen">Christoph Helmchen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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